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South Dakota rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.01 / $262.01 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.17 / $262.01 / $777.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.32 / $641.98 / $802.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.16 / $442.80 / $734.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $552.15 / $2,149.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $753.10 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.00 / $634.64 / $780.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.82 / $477.43 / $564.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $542.88 / $788.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.70 / $646.79 / $672.60