go back

South Dakota rates for HCPCS 54860

Epididymectomy Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.84 / $380.84 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.22 / $643.62 / $1,170.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.00 / $1,098.58 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.15 / $697.82 / $820.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00