go back

South Dakota rates for HCPCS 54680

Transplantation of testis(es) to thigh (because of scrotal destruction)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,737.80 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,548.82
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
$870.96 / $1,513.56 / $2,187.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $1,819.70