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South Dakota rates for HCPCS 55725

Prostatotomy External Drg Abscess Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.67 / $539.67 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.78 / $539.67 / $1,704.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.48 / $1,350.18 / $1,687.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $912.06 / $1,688.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.37 / $1,267.28 / $4,458.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.00 / $1,558.12 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.00 / $1,311.48 / $1,582.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.14 / $1,022.45 / $1,165.71
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
$760.37 / $1,250.57 / $1,658.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.09 / $1,336.50 / $1,390.00