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South Dakota rates for HCPCS 58410

Uterine Susp W/Wo Short Ligamnts W/Sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.22 / $737.22 / $737.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.14 / $737.22 / $2,241.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.01 / $1,802.06 / $2,252.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.18 / $1,245.90 / $2,115.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.87 / $1,574.33 / $6,055.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.63 / $2,009.89 / $2,537.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.00 / $1,786.01 / $2,202.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.60 / $1,349.45 / $1,587.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.87 / $1,568.12 / $2,244.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.10 / $1,820.10 / $1,892.90