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South Dakota rates for HCPCS 58545

Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,623.41 / $40,738.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,995.26 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84