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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
$3,511.00 / $3,511.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $7,233.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00