go back

South Dakota rates for HCPCS 55300

Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.84 / $165.84 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $153.80 / $165.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.24 / $412.92 / $516.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.93 / $298.37 / $502.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.69 / $391.46 / $1,376.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $441.94 / $564.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $404.66 / $486.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.83 / $312.14 / $359.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.43 / $366.82 / $518.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.50 / $412.40 / $428.90