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South Dakota rates for HCPCS 58356

Endometrial Cryoablation W/Us & Endometrial Cr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.44 / $1,627.49 / $1,627.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.44 / $1,457.90 / $2,439.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.31 / $964.14 / $4,669.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.81 / $2,094.27 / $4,595.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.34 / $4,971.59 / $14,199.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.16 / $3,134.57 / $5,399.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.84 / $3,076.32 / $4,687.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.24 / $2,310.82 / $3,085.07
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
$2,271.34 / $3,339.13 / $5,194.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.40 / $815.30 / $3,678.70