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South Dakota rates for HCPCS 59130

Surgical treatment of ectopic pregnancy; abdominal pregnancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.89 / $801.89 / $801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.52 / $801.89 / $2,664.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.03 / $2,000.73 / $2,500.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.81 / $1,355.19 / $2,274.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.06 / $1,828.04 / $6,830.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.67 / $2,262.69 / $2,943.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.00 / $1,981.03 / $2,567.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.35 / $1,574.91 / $1,852.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.06 / $1,761.76 / $2,501.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.60 / $2,124.19 / $2,209.19