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South Dakota rates for HCPCS 57200

Colporrhaphy, suture of injury of vagina (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.37 / $305.37 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.65 / $503.15 / $789.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.00 / $823.54 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.23 / $518.32 / $649.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00