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South Dakota rates for HCPCS 58145

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.34 / $516.34 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.73 / $872.61 / $1,437.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.00 / $1,496.53 / $2,929.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.83 / $932.08 / $1,096.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00