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South Dakota rates for HCPCS 58700

Salpingectomy Complete/Partial Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.06 / $720.06 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.29 / $1,216.90 / $2,045.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.67 / $1,965.97 / $2,489.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.78 / $1,331.31 / $1,566.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00