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South Dakota rates for HCPCS 55175

Scrotoplasty; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.51 / $332.51 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.63 / $561.94 / $1,019.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.00 / $956.78 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.09 / $609.84 / $717.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00