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South Dakota rates for HCPCS 57311

Clsr Urethrovag Fstl W/Bulbocavernosus Trnspl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.08 / $508.08 / $508.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.09 / $508.08 / $1,505.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.43 / $1,262.14 / $1,577.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.36 / $858.66 / $1,396.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.86 / $1,046.88 / $7,983.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.87 / $1,384.50 / $1,713.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.00 / $1,221.23 / $1,485.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.30 / $907.36 / $1,085.50
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
$624.86 / $1,093.51 / $1,519.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.90 / $1,244.59 / $1,294.40