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South Dakota rates for HCPCS 58822

Drainage Ovarian Abscess Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.58 / $647.58 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.71 / $647.58 / $1,951.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.65 / $1,583.13 / $1,978.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.45 / $1,094.41 / $1,840.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.88 / $1,374.03 / $5,311.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.63 / $1,762.63 / $2,225.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.00 / $1,566.23 / $1,929.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.05 / $1,183.38 / $1,392.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.88 / $1,363.14 / $1,960.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.70 / $1,596.10 / $1,660.00