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South Dakota rates for HCPCS 54830

Excision of local lesion of epididymis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $3,548.13 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53