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Limited Lymph Node Sampling Behind The Abdomen

South Dakota rates for HCPCS 38564

Takes a limited sample of lymph nodes from behind the abdominal organs, along the main artery of the abdomen and near the spleen, to find out whether a cancer has reached them. It is a sampling operation for staging rather than an attempt to clear out all the nodes in the area.

Facilitymedian $891 · 10th–90th $692$4,3650%20%40%10th90th$891Professionalmedian $1,202 · 10th–90th $813$1,4450%20%10th90th$1,202$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26