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South Dakota rates for HCPCS 58353

Endometrial ablation, thermal, without hysteroscopic guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.71 / $906.31 / $11,244.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.69 / $1,160.51 / $2,555.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.52 / $2,243.37 / $3,894.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.18 / $1,273.75 / $1,708.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00