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South Dakota rates for HCPCS 57285

Paravaginal Defect Repair Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.30 / $628.30 / $628.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.48 / $988.60 / $1,775.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.76 / $1,710.66 / $2,152.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.72 / $1,147.08 / $1,349.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00