go back

South Dakota rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.10 / $293.10 / $293.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.76 / $495.34 / $899.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $846.37 / $1,759.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.76 / $536.70 / $631.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00