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South Dakota rates for HCPCS 54830

Excision Local Lesion Epididymis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $339.14 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.25 / $573.15 / $1,039.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.00 / $976.53 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.20 / $621.39 / $731.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,897.94