go back

South Dakota rates for HCPCS 11980

Subcutaneous Hormone Pellet Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.09 / $91.75 / $91.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $93.02 / $152.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $151.91 / $269.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $135.50 / $244.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $233.05 / $700.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.41 / $174.00 / $246.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.08 / $174.00 / $253.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $136.46 / $183.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $169.42 / $263.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.80 / $119.70 / $205.30