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South Dakota rates for HCPCS 58520

Hysterorrhaphy Repair Rupt Uterus Nonobstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.71 / $722.71 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.13 / $722.71 / $2,194.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.90 / $1,766.22 / $2,207.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.15 / $1,221.38 / $2,110.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.84 / $1,583.06 / $5,930.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.58 / $1,968.44 / $2,486.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.00 / $1,748.90 / $2,159.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.63 / $1,321.41 / $1,554.50
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
$949.84 / $1,412.51 / $2,197.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.00 / $1,782.30 / $1,853.60