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South Dakota rates for HCPCS 38571

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.84 / $663.84 / $5,149.20
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$331.92 / $331.92 / $331.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.76 / $1,121.89 / $2,134.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.00 / $1,737.64 / $8,568.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.77 / $1,162.91 / $1,334.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$246.57 / $246.57 / $246.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$246.57 / $246.57 / $246.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00