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South Dakota rates for HCPCS 57720

Trachelorrhaphy Plstc Rpr Uterine Cervix Vag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.17 / $308.17 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.31 / $329.76 / $398.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.03 / $754.17 / $942.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $520.80 / $804.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.81 / $622.92 / $2,495.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $831.43 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.00 / $717.53 / $906.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.40 / $525.54 / $654.02
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
$361.81 / $675.08 / $899.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.40 / $749.90 / $779.90