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South Dakota rates for HCPCS 58543

Laps Supracervical Hysterectomy >250

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.62 / $760.62 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.30 / $760.62 / $994.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.96 / $1,860.49 / $2,325.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.87 / $1,214.92 / $2,185.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.34 / $1,613.96 / $8,470.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.00 / $2,233.48 / $8,568.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.80 / $1,902.18 / $2,273.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.30 / $1,394.00 / $1,639.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $20,822.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.38 / $1,489.27 / $2,316.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.20 / $1,880.20 / $1,955.40