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South Dakota rates for HCPCS 58661

Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.09 / $8,004.08 / $15,261.76
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,618.32 / $5,009.64 / $8,887.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.21 / $990.49 / $1,706.48
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,227.48 / $4,339.89 / $21,918.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.00 / $1,724.17 / $5,090.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.59 / $1,080.55 / $1,271.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$238.72 / $238.72 / $238.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$238.72 / $238.72 / $238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00