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South Dakota rates for HCPCS 58554

Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.13 / $4,338.00 / $20,260.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.40 / $1,975.83 / $3,484.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.00 / $3,460.02 / $8,568.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.09 / $2,190.84 / $2,535.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00