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South Dakota rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.39 / $297.39 / $1,372.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.64 / $502.59 / $913.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $860.73 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.68 / $547.15 / $643.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00