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South Dakota rates for HCPCS 54512

Exc Xtrparenchymal Lesion Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $485.19 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.12 / $819.97 / $1,497.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.00 / $1,415.41 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.08 / $901.05 / $1,052.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00