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South Dakota rates for HCPCS 57700

Cerclage Uterine Cervix Nonobstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.38 / $331.38 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.60 / $331.38 / $866.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.20 / $807.93 / $1,009.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.89 / $519.84 / $811.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.60 / $645.05 / $2,665.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $883.90 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $731.54 / $968.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.30 / $555.95 / $694.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.44 / $757.03 / $936.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.50 / $795.80 / $827.70