go back

South Dakota rates for HCPCS 58805

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.76 / $391.76 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.40 / $407.56 / $407.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.34 / $957.51 / $1,196.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.27 / $662.07 / $1,060.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.90 / $808.54 / $3,827.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.00 / $1,093.81 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $937.20 / $1,158.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.70 / $709.37 / $834.50
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
$475.90 / $745.22 / $1,159.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.30 / $956.80 / $995.10