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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

Professionalmedian $417 · 10th–90th $138–$8130%10%10th90th$417$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $162.18 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $281.84 / $812.83
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $724.44 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $251.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $501.19 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $707.95 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $245.47 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $467.74 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $741.31
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $269.15 / $269.15
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $436.52 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $245.47 / $269.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $489.78 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $91.20 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $173.78 / $645.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $954.99
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $302.00 / $309.03
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $630.96 / $645.65