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South Dakota rates for HCPCS 54660

Insertion of testicular prosthesis (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $645.65 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $794.33 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $851.14