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South Dakota rates for HCPCS 55175

Scrotoplasty; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84