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South Dakota rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.33 / $269.33 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $308.67 / $466.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.29 / $672.36 / $840.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.76 / $455.17 / $831.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.84 / $596.40 / $2,227.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $783.57 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.00 / $654.29 / $792.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.52 / $499.55 / $581.55
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
$357.84 / $561.26 / $834.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.79 / $666.80 / $693.50