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South Dakota rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.12 / $1,004.12 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.85 / $1,004.12 / $1,133.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.04 / $2,458.84 / $3,073.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.27 / $1,696.96 / $2,986.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.16 / $2,210.26 / $9,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.00 / $2,972.66 / $8,568.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.00 / $2,449.04 / $3,014.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.25 / $1,868.82 / $2,176.82
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
$1,003.11 / $1,995.73 / $3,104.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.40 / $2,495.80 / $2,595.69