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South Dakota rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $251.19 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $380.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53