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South Dakota rates for HCPCS 58800

Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.33 / $336.08 / $336.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.33 / $327.83 / $576.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.39 / $815.72 / $1,019.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.01 / $525.61 / $831.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.14 / $871.42 / $3,031.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $862.17 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.00 / $703.12 / $983.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.06 / $531.50 / $703.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.13 / $617.04 / $959.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.70 / $737.40 / $839.20