go back

South Dakota rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.16 / $161.16 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.68 / $265.39 / $421.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.00 / $435.58 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.58 / $274.19 / $342.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00