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South Dakota rates for HCPCS 54865

Exploration Epididymis W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.27 / $328.27 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.27 / $328.27 / $1,031.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.93 / $822.73 / $1,028.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.54 / $515.91 / $1,005.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.70 / $715.82 / $2,703.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.00 / $942.43 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.83 / $796.93 / $959.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.48 / $602.14 / $708.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.49 / $715.82 / $1,002.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.30 / $812.20 / $844.60