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South Dakota rates for HCPCS 54660

Insj Testicular Prosth Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.77 / $326.77 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.99 / $326.77 / $391.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.03 / $819.61 / $1,024.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.71 / $552.26 / $1,001.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $725.00 / $2,691.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $937.92 / $6,755.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.00 / $794.03 / $954.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.74 / $599.94 / $705.77
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
$435.00 / $725.00 / $998.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.80 / $809.20 / $841.60