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South Dakota rates for HCPCS 57555

Excision of cervical stump, vaginal approach; with anterior and/or posterior repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.60 / $562.60 / $562.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.54 / $562.60 / $1,676.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.39 / $1,376.67 / $1,720.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.66 / $950.79 / $1,579.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.94 / $1,185.08 / $4,604.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.02 / $1,528.11 / $1,928.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.00 / $1,358.08 / $1,674.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.29 / $1,026.10 / $1,207.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.94 / $1,290.06 / $1,693.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.40 / $1,384.00 / $1,439.40