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South Dakota rates for HCPCS 58940

Oophorectomy, partial or total, unilateral or bilateral;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.18 / $504.18 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.35 / $849.85 / $1,370.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.71 / $1,364.56 / $1,732.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.72 / $904.36 / $1,086.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00