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South Dakota rates for HCPCS 54505

Biopsy of testis, incisional (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.18 / $190.18 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.36 / $217.71 / $330.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.43 / $475.25 / $594.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.19 / $321.39 / $584.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.82 / $418.04 / $1,782.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.00 / $551.08 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.68 / $461.43 / $557.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.51 / $348.70 / $410.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.82 / $418.04 / $586.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.70 / $470.20 / $489.00