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South Dakota rates for HCPCS 57335

Vaginoplasty for intersex state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.47 / $1,062.47 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.76 / $1,062.47 / $3,225.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.48 / $2,595.96 / $3,244.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.48 / $1,795.57 / $3,003.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.37 / $2,437.28 / $9,930.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.36 / $2,897.73 / $3,661.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.00 / $2,573.48 / $3,174.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.93 / $1,944.45 / $2,287.44
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
$1,462.37 / $2,437.28 / $3,231.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.30 / $2,622.70 / $2,727.60