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South Dakota rates for HCPCS 58180

Supracervical Abdl Hyster W/Wo Rmvl Tube Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.80 / $861.80 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.05 / $1,456.44 / $2,536.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.38 / $2,365.73 / $2,973.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.32 / $1,593.81 / $1,874.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$352.48 / $352.48 / $352.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00