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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
$251.19 / $354.81 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $512.86 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $794.33 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $645.65 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,096.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $891.25