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South Dakota rates for HCPCS 58550

Laps Vaginal Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.66 / $794.66 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.40 / $1,342.98 / $2,323.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.00 / $2,334.51 / $5,090.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.71 / $1,462.73 / $1,720.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00