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South Dakota rates for HCPCS 57135

Excision Vaginal Cyst/Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $232.10 / $232.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $196.97 / $685.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.27 / $527.84 / $701.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.93 / $361.39 / $501.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.77 / $405.15 / $2,108.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.00 / $582.96 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $418.66 / $666.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.84 / $328.31 / $475.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.77 / $397.21 / $617.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.70 / $438.90 / $572.40