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South Dakota rates for HCPCS 55600

Vesiculotomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $977.24 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $758.58 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,174.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $977.24