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South Dakota rates for HCPCS 58294

Vaginal Hysterectomy >250 Gm Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.56 / $1,093.56 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.96 / $1,093.56 / $3,393.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.09 / $2,672.31 / $3,340.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.68 / $1,848.12 / $3,207.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.96 / $2,366.60 / $9,012.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.75 / $2,991.98 / $3,781.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.00 / $2,660.09 / $3,279.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.88 / $2,009.88 / $2,364.42
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
$1,556.09 / $2,559.19 / $3,364.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,304.30 / $2,710.90 / $2,819.40