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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
$135.07 / $344.76 / $344.76
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$27.01 / $27.01 / $68.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.94 / $280.14 / $1,192.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.45 / $656.95 / $975.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.98 / $409.54 / $786.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.97 / $749.95 / $2,665.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.53 / $517.37 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.60 / $497.95 / $868.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.30 / $456.99 / $657.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.97 / $584.29 / $908.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.10 / $352.50 / $784.50