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South Dakota rates for HCPCS 58150

Total abdominal hysterectomy (corpus and cervix), 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
$911.85 / $911.85 / $5,216.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.03 / $1,541.03 / $2,660.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.73 / $2,502.37 / $3,134.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.35 / $1,688.19 / $1,985.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$374.48 / $374.48 / $374.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$374.48 / $374.48 / $374.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00