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South Dakota rates for HCPCS 55200

Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.24 / $356.76 / $356.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.93 / $327.79 / $800.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.41 / $795.79 / $1,094.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.48 / $553.97 / $1,133.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.14 / $1,108.56 / $3,393.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.80 / $949.17 / $2,896.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.53 / $834.05 / $1,029.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.01 / $552.72 / $741.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.15 / $1,108.56 / $1,158.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.50 / $650.29 / $884.00