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South Dakota rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $2,238.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $1,905.46