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South Dakota rates for HCPCS 58679

Unlisted laparoscopy procedure, oviduct, ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,073.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84