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South Dakota rates for HCPCS 57287

Removal or revision of sling for stress incontinence (eg, fascia or synthetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.81 / $679.81 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.63 / $1,148.88 / $1,796.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $1,843.87 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.50 / $1,168.93 / $1,445.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$256.73 / $256.73 / $256.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00