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South Dakota rates for HCPCS 57410

Pelvic Examination W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.90 / $94.90 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.56 / $194.00 / $284.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $277.35 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $179.28 / $206.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00