go back

South Dakota rates for HCPCS 58950

Rescj Ovarian/Tubal/Peritoneal Malignancy W/Bso

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.94 / $1,040.94 / $1,040.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.86 / $1,759.19 / $2,938.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.59 / $2,834.60 / $3,572.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.09 / $1,912.00 / $2,249.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00