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South Dakota rates for HCPCS 88309

Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $162.18 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $281.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $251.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $501.19 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $245.47 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $251.19 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$245.47 / $269.15 / $269.15
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $436.52 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $245.47 / $269.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $489.78 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $831.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $123.03 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $204.17 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.88 / $302.00 / $331.13
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.78 / $630.96 / $676.08