go back

South Dakota rates for HCPCS 55040

Excision Hydrocele Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.48 / $307.48 / $1,408.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.57 / $609.95 / $3,143.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.00 / $888.57 / $3,103.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.52 / $564.75 / $664.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00