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South Dakota rates for HCPCS 58561

Hysteroscopy, surgical; with removal of leiomyomata

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.41 / $317.41 / $4,980.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.41 / $546.10 / $1,218.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.22 / $778.75 / $972.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.72 / $727.34 / $1,444.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.87 / $864.78 / $7,725.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.75 / $971.00 / $4,114.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.10 / $888.00 / $1,100.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.60 / $657.62 / $902.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.87 / $688.01 / $992.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.60 / $793.60 / $825.40