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South Dakota rates for HCPCS 59300

Episiotomy or vaginal repair, by other than attending

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.12 / $204.44 / $204.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.12 / $204.44 / $542.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.30 / $386.63 / $625.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.80 / $316.83 / $500.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $521.39 / $1,672.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.61 / $352.30 / $576.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $386.84 / $576.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.14 / $315.93 / $419.77
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
$204.46 / $373.23 / $580.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.89 / $342.50 / $526.79