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South Dakota rates for HCPCS 59140

Surgical treatment of ectopic pregnancy; cervical, with evacuation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $707.95 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $812.83
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
$407.38 / $707.95 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $977.24