go back

South Dakota rates for HCPCS 54700

Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.68 / $192.68 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.68 / $218.62 / $337.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.62 / $483.04 / $603.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.33 / $325.63 / $591.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.26 / $423.76 / $2,710.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.00 / $560.05 / $1,759.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.49 / $471.62 / $568.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.73 / $357.98 / $419.19
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
$278.56 / $448.08 / $594.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.50 / $480.60 / $499.80