go back

South Dakota rates for HCPCS 58900

Biopsy of ovary, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.87 / $399.87 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.85 / $399.87 / $1,153.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.27 / $976.99 / $1,221.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.88 / $675.78 / $1,083.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.75 / $826.56 / $4,307.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.00 / $1,118.82 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.00 / $956.60 / $1,184.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.60 / $705.93 / $852.61
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
$484.75 / $1,133.83 / $1,184.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.90 / $977.60 / $1,016.70