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South Dakota rates for HCPCS 57230

Plastic Repair Urethrocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.40 / $383.40 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.33 / $647.95 / $1,036.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,068.83 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.20 / $674.66 / $815.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00