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South Dakota rates for HCPCS 58570

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;

Facilitymedian $12,589 · 10th–90th $977$17,7830%10%20%10th90th$12,589Professionalmedian $1,318 · 10th–90th $295$1,5850%10%20%10th90th$1,318$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $12,589.25 / $17,782.79
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,230.27 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,778.28 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,348.96 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $21,877.62