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South Dakota rates for HCPCS 55500

Exc Hydrocele Sprmatic Cord Uni Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.27 / $355.27 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.90 / $600.41 / $1,090.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,034.86 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.88 / $659.11 / $767.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00