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South Dakota rates for HCPCS 55100

Drainage Scrotal Wall Abscess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.44 / $214.43 / $214.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.44 / $231.00 / $376.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.32 / $486.81 / $664.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.06 / $334.54 / $561.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.20 / $600.51 / $2,669.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.85 / $513.05 / $1,239.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.90 / $438.00 / $578.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.48 / $336.16 / $436.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.20 / $457.24 / $627.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.20 / $394.20 / $537.60