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South Dakota rates for HCPCS 55400

Vasovasostomy Vasovasorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.02 / $452.02 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.32 / $452.02 / $1,432.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.25 / $1,129.70 / $1,412.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.05 / $763.91 / $1,393.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.97 / $991.62 / $7,500.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $1,310.42 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.00 / $1,098.25 / $1,327.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.32 / $829.80 / $976.17
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
$649.54 / $1,041.20 / $1,393.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.30 / $1,119.20 / $1,164.00