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South Dakota rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.89 / $678.89 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.03 / $780.90 / $1,172.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.11 / $1,691.43 / $2,114.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.94 / $1,147.32 / $2,103.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.30 / $1,560.50 / $5,625.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,980.88 / $5,090.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.00 / $1,652.11 / $2,000.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.84 / $1,264.26 / $1,468.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.39 / $1,716.80 / $2,112.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.10 / $1,683.70 / $1,751.00