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South Dakota rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $656.48 / $1,656.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.61 / $132.62 / $436.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.71 / $162.63 / $684.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.95 / $222.78 / $425.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.50 / $354.31 / $2,881.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.33 / $265.16 / $790.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $233.25 / $655.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $194.95 / $451.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $314.17 / $551.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $135.00 / $538.40