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South Dakota rates for HCPCS 38573

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.17 / $1,172.17 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.54 / $1,644.20 / $3,102.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.96 / $3,069.58 / $11,505.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.26 / $1,955.86 / $2,295.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $20,822.43