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South Dakota rates for HCPCS 55041

Excision Hydrocele Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.18 / $464.18 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.72 / $784.46 / $1,427.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,342.71 / $3,103.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.76 / $850.15 / $1,000.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00