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South Dakota rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $1,513.56 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $346.74 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $676.08 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $407.38 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $537.03 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $346.74 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $676.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $776.25