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South Dakota rates for HCPCS 58546

Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.79 / $15,834.63 / $30,087.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.79 / $1,126.33 / $4,303.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.19 / $2,444.82 / $3,056.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.73 / $1,687.96 / $2,963.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.65 / $2,186.08 / $8,246.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.00 / $2,953.81 / $8,568.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.00 / $2,435.19 / $2,997.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.47 / $1,852.00 / $2,164.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.41 / $2,337.46 / $3,086.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.50 / $2,481.69 / $2,581.00