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South Dakota rates for HCPCS 58578

Unlisted laparoscopy procedure, uterus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.30 / $303.30 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.80 / $1,948.80 / $1,948.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00