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South Dakota rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,677.35 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,380.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$223.87 / $223.87 / $223.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$223.87 / $223.87 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28