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South Dakota rates for HCPCS 57289

Pereyra Px W/Anterior Colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.37 / $720.37 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.40 / $720.37 / $2,127.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.52 / $1,759.21 / $2,199.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.67 / $1,217.43 / $1,946.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.38 / $1,512.25 / $5,898.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,959.63 / $6,152.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.00 / $1,704.52 / $2,142.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.92 / $1,265.14 / $1,543.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.06 / $1,389.26 / $2,161.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.20 / $1,769.70 / $1,840.50