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South Dakota rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.89 / $5,826.39 / $10,659.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.61 / $1,954.75 / $6,461.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.79 / $743.69 / $5,829.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.79 / $2,646.94 / $4,228.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.89 / $4,548.12 / $15,390.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.03 / $3,907.64 / $5,363.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.66 / $3,246.59 / $5,214.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.73 / $2,704.05 / $3,818.65
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
$1,762.65 / $3,584.57 / $5,576.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $567.70 / $4,553.39