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South Dakota rates for HCPCS 59150

Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.60 / $672.60 / $672.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.60 / $761.79 / $943.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.26 / $1,678.18 / $2,097.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.51 / $1,136.69 / $1,994.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.31 / $1,521.59 / $5,715.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.00 / $2,092.17 / $5,090.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.00 / $1,713.04 / $2,144.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.69 / $1,317.01 / $1,549.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.31 / $1,599.14 / $2,086.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.90 / $1,776.40 / $1,847.40