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South Dakota rates for HCPCS 58120

Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.34 / $1,479.60 / $4,318.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.90 / $272.63 / $980.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.65 / $652.50 / $841.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.29 / $412.01 / $674.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.60 / $711.06 / $2,219.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $705.50 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.00 / $553.21 / $726.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.31 / $431.18 / $569.24
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
$303.60 / $501.89 / $780.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.50 / $543.79 / $689.60