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South Dakota rates for HCPCS 55540

Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,096.48
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
$575.44 / $1,047.13 / $1,479.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,318.26