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South Dakota rates for HCPCS 58670

Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $851.14 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $575.44 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $660.69 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $870.96