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South Dakota rates for HCPCS 58541

Laparoscopy Supracervical Hysterectomy 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.24 / $662.24 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.41 / $1,076.21 / $1,890.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $1,934.22 / $8,568.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.08 / $1,211.43 / $1,425.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00