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South Dakota rates for HCPCS 58292

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.73 / $1,176.73 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.53 / $1,176.73 / $3,662.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.43 / $2,875.66 / $3,594.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.61 / $1,988.67 / $3,461.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.70 / $2,551.16 / $9,704.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.95 / $3,221.52 / $4,070.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.00 / $2,862.43 / $3,530.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.18 / $2,162.98 / $2,544.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.70 / $2,624.38 / $3,626.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.50 / $2,917.10 / $3,033.80