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South Dakota rates for HCPCS 55680

Excision of Mullerian duct cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.11 / $316.11 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.91 / $316.11 / $994.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.09 / $791.57 / $989.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.29 / $534.23 / $969.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.65 / $714.42 / $5,174.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.00 / $910.12 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.00 / $767.09 / $924.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.63 / $583.67 / $681.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.65 / $696.38 / $968.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.50 / $781.80 / $813.00