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South Dakota rates for HCPCS 55250

Vasectomy Uni/Bi Spx W/Postop Semen Exams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.85 / $2,808.50 / $4,931.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $532.98 / $1,478.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.41 / $661.26 / $963.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.57 / $487.28 / $1,019.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.44 / $974.31 / $3,041.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.59 / $829.19 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.73 / $728.53 / $899.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.13 / $519.08 / $647.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $4,097.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.63 / $671.74 / $1,017.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.70 / $539.20 / $772.10