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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
$391.06 / $391.06 / $391.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.41 / $484.28 / $830.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.31 / $977.77 / $1,222.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.67 / $660.89 / $1,202.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.55 / $857.60 / $3,226.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.00 / $1,128.23 / $6,514.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.00 / $948.31 / $1,145.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $716.52 / $842.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.55 / $905.25 / $1,201.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.50 / $966.40 / $1,005.10