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South Dakota rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $50.12 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $95.50 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $72.44 / $120.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $89.13 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $112.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $69.18 / $131.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $58.88 / $131.83