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South Dakota rates for HCPCS 57330

Clsr Vesicovag Fstl Transvesical&Vag Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.34 / $696.34 / $696.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.21 / $696.34 / $2,124.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.48 / $1,728.82 / $2,161.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.66 / $1,176.81 / $1,975.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.37 / $1,480.62 / $5,806.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.30 / $1,905.42 / $2,359.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.00 / $1,680.48 / $2,044.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $1,269.72 / $1,493.69
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
$888.37 / $1,420.70 / $2,114.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.70 / $1,712.60 / $1,781.10