go back

South Dakota rates for HCPCS 55535

Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $776.25 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,000.00