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South Dakota rates for HCPCS 58280

Vag Hyster W/Tot/Prtl Vaginect W/Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.87 / $954.87 / $954.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.31 / $954.87 / $1,157.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.04 / $2,335.73 / $2,919.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.71 / $1,613.73 / $2,770.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.35 / $2,051.04 / $7,861.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.75 / $2,609.34 / $3,293.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.00 / $2,318.04 / $2,857.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.38 / $1,751.43 / $2,060.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.35 / $1,876.97 / $2,919.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.00 / $2,362.30 / $2,456.80