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South Dakota rates for HCPCS 57556

Exc Crv Stump Vag Appr W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.65 / $534.65 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.52 / $534.65 / $1,585.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.94 / $1,308.10 / $1,635.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.45 / $903.56 / $1,494.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.03 / $1,122.33 / $4,373.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,537.85 / $4,114.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.00 / $1,289.66 / $1,590.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.06 / $974.42 / $1,146.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.10 / $1,032.07 / $1,605.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.09 / $1,314.30 / $1,366.90