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South Dakota rates for HCPCS 55041

Excision of hydrocele; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $4,365.16 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28