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South Dakota rates for HCPCS 58280

Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,344.23 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,949.84 / $2,884.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $2,454.71