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South Dakota rates for HCPCS 54640

Orchiopexy Inguinal Or Scrotal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.87 / $3,117.15 / $10,445.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.79 / $655.50 / $1,271.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.00 / $1,137.20 / $3,103.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.28 / $788.39 / $844.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00