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South Dakota rates for HCPCS 57308

Clsr Rectovag Fstl Tprnl Prnl Bdy Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.54 / $607.54 / $607.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.27 / $607.54 / $1,884.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.68 / $1,501.33 / $1,876.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.77 / $1,026.76 / $1,681.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.09 / $1,268.55 / $5,443.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.88 / $1,648.03 / $2,049.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.00 / $1,460.68 / $1,783.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.66 / $1,091.35 / $1,298.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.09 / $1,248.48 / $1,835.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.30 / $1,488.60 / $1,548.10