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South Dakota rates for HCPCS 57531

Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.73 / $1,567.73 / $1,567.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.80 / $1,567.73 / $4,723.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.61 / $3,825.38 / $4,781.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,480.58 / $4,774.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.98 / $3,533.91 / $13,112.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.25 / $4,343.50 / $5,662.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,775.00 / $3,870.00 / $4,933.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.23 / $3,080.86 / $3,561.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.98 / $3,099.28 / $4,821.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,471.20 / $4,083.80 / $4,247.20