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South Dakota rates for HCPCS 54800

Biopsy Epididymis Needle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $111.43 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.01 / $111.43 / $362.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.93 / $278.92 / $348.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.36 / $201.47 / $346.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $262.44 / $1,939.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.00 / $325.80 / $1,311.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.77 / $272.93 / $330.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.41 / $210.61 / $242.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $248.32 / $349.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.40 / $278.10 / $289.30