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South Dakota rates for HCPCS 58660

Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,365.16 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,513.56 / $1,548.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32