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South Dakota rates for HCPCS 59136

Tx Ectopic Pregnancy Ntrstl Prtl Rescj Uter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.98 / $760.98 / $760.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.24 / $760.98 / $2,521.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.42 / $1,904.71 / $2,373.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.07 / $1,286.06 / $2,277.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.94 / $1,733.25 / $6,480.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.65 / $2,146.63 / $2,794.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.00 / $1,952.33 / $2,434.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.04 / $1,495.18 / $1,758.92
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
$1,110.24 / $2,270.01 / $2,371.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.20 / $2,016.70 / $2,097.30