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South Dakota rates for HCPCS 37790

Penile venous occlusive procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.83 / $521.83 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.74 / $521.83 / $521.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.61 / $1,093.85 / $1,367.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.34 / $881.89 / $1,300.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.63 / $970.24 / $3,840.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.00 / $1,203.76 / $2,482.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.56 / $1,064.77 / $1,292.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.35 / $810.54 / $946.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.14 / $1,016.40 / $1,356.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.20 / $1,148.50 / $1,194.40