go back

South Dakota rates for HCPCS 57423

Paravaginal Defect Repair Laparoscopic Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.33 / $837.33 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.05 / $1,318.25 / $2,412.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.80 / $2,287.41 / $2,880.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.14 / $1,533.12 / $1,803.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$336.13 / $336.13 / $336.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00