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South Dakota rates for HCPCS 54535

Orchiectomy Radical Tumor W/Abdominal Expl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.71 / $670.71 / $670.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.91 / $670.71 / $2,139.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.54 / $1,672.73 / $2,090.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.78 / $1,133.50 / $2,072.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.06 / $1,490.10 / $5,552.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.20 / $1,844.36 / $2,270.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.00 / $1,629.54 / $1,973.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.38 / $1,239.31 / $1,448.41
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
$979.71 / $1,567.54 / $2,075.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.60 / $1,660.70 / $1,727.10