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South Dakota rates for HCPCS 58943

Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.46 / $1,053.46 / $1,053.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.74 / $1,053.46 / $3,364.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.69 / $2,673.09 / $3,341.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.22 / $1,780.35 / $3,056.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.88 / $2,253.14 / $9,922.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.98 / $2,958.82 / $3,620.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.00 / $2,638.98 / $3,150.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.20 / $1,984.42 / $2,345.66
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
$1,491.85 / $3,068.04 / $3,205.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,286.00 / $2,689.40 / $2,797.00