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South Dakota rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.04 / $827.04 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.04 / $908.51 / $1,417.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.99 / $2,023.32 / $2,529.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.74 / $1,397.70 / $2,392.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.48 / $1,773.30 / $6,805.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.12 / $2,258.96 / $2,852.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.00 / $2,007.99 / $2,471.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.53 / $1,517.17 / $1,784.80
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
$1,054.48 / $1,757.46 / $2,526.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.40 / $2,046.40 / $2,128.19