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South Dakota rates for HCPCS 57268

Repair Enterocele Vaginal Approach Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.05 / $464.05 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.69 / $784.24 / $1,268.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.00 / $1,317.73 / $4,114.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.03 / $827.99 / $989.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00