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South Dakota rates for HCPCS 54500

Biopsy Testis Needle Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.86 / $66.86 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $66.86 / $215.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $167.51 / $209.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $113.67 / $206.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.38 / $148.96 / $1,656.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.00 / $192.98 / $2,197.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $163.04 / $198.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.98 / $124.74 / $144.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.38 / $147.80 / $206.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $166.10 / $172.80