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South Dakota rates for HCPCS 59525

Stot/Tot Hysterectomy After Cesarean Delivery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.37 / $396.37 / $396.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.37 / $476.41 / $587.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.34 / $987.90 / $1,234.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.94 / $719.21 / $1,262.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.44 / $941.39 / $3,417.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.00 / $1,064.99 / $1,482.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.86 / $926.34 / $1,066.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.73 / $817.62 / $932.18
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
$550.44 / $917.40 / $1,274.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.20 / $706.10 / $734.30