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South Dakota rates for HCPCS 54670

Suture or repair of testicular injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.59 / $372.59 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.23 / $416.88 / $458.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.48 / $931.02 / $1,163.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.11 / $629.67 / $1,142.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.67 / $816.12 / $3,341.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.00 / $1,069.88 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.00 / $902.48 / $1,090.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.15 / $681.88 / $802.16
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
$533.13 / $731.68 / $1,138.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.80 / $919.70 / $956.50