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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
$1,174.90 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,951.21 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,344.23 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,884.03 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,398.83 / $3,548.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $3,019.95