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South Dakota rates for HCPCS 58400

Uterine Suspension W/Wo Shortening Ligaments Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.44 / $424.44 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.05 / $717.30 / $1,154.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.99 / $1,149.10 / $1,443.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.20 / $752.83 / $900.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00