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South Dakota rates for HCPCS 57307

Clsr Rectovag Fstl Abdl Appr W/Concomitant Clst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.63 / $990.63 / $990.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.88 / $990.63 / $2,915.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.73 / $2,427.67 / $3,034.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.72 / $1,674.16 / $2,783.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.54 / $2,029.01 / $8,054.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.78 / $2,673.83 / $3,354.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.00 / $2,362.42 / $2,908.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.61 / $1,796.30 / $2,099.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.54 / $2,000.90 / $2,932.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.40 / $2,407.60 / $2,503.90