go back

South Dakota rates for HCPCS 58920

Wedge resection or bisection of ovary, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $660.69 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,621.81 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,258.93 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,548.82 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $1,949.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $1,659.59