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South Dakota rates for HCPCS 59136

Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,513.56 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $2,344.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $2,089.30