go back

South Dakota rates for HCPCS 59821

Tx Missed Abortion Second Trimester Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.41 / $380.73 / $380.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.41 / $388.37 / $490.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.42 / $945.05 / $1,181.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.92 / $597.38 / $984.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.64 / $1,028.72 / $3,157.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $1,045.56 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.00 / $856.79 / $1,146.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.60 / $638.79 / $844.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,359.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.64 / $734.40 / $1,104.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.50 / $884.00 / $1,006.60