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South Dakota rates for HCPCS 54680

Transplantation Testis To Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.99 / $708.99 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.02 / $708.99 / $2,262.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.43 / $1,767.00 / $2,208.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.97 / $1,198.19 / $2,192.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.24 / $1,593.74 / $5,867.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.00 / $2,062.54 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.00 / $1,723.43 / $2,087.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.16 / $1,310.08 / $1,531.86
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
$956.24 / $1,411.78 / $2,196.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.90 / $1,756.30 / $1,826.60