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South Dakota rates for HCPCS 55040

Excision of hydrocele; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,801.89 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $794.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28