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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
$359.06 / $359.06 / $359.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.11 / $359.06 / $1,147.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.42 / $895.97 / $1,119.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.21 / $596.16 / $1,050.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.17 / $786.05 / $3,074.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.16 / $1,003.00 / $1,301.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $872.42 / $1,132.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.70 / $684.28 / $817.68
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
$365.97 / $707.65 / $1,100.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.90 / $937.50 / $975.00