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South Dakota rates for HCPCS 55550

Laps Ligation Spermatic Veins Varicocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.08 / $390.08 / $12,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.83 / $390.08 / $1,231.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.87 / $976.21 / $1,220.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.85 / $659.24 / $1,199.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.15 / $853.58 / $3,221.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.00 / $1,124.61 / $5,090.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.00 / $946.87 / $1,143.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.82 / $715.42 / $841.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.53 / $1,146.32 / $1,197.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.20 / $965.00 / $1,003.50