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South Dakota rates for HCPCS 55000

Pnxr Aspir Hydrocele Tunica Vagis W/Wo Njx Med

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $111.69 / $111.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $120.81 / $184.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.10 / $237.63 / $343.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.78 / $173.70 / $306.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.85 / $316.88 / $897.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.66 / $234.00 / $312.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.86 / $233.00 / $311.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.66 / $173.63 / $232.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.99 / $212.83 / $331.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.10 / $195.90 / $277.70