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South Dakota rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.05 / $983.05 / $983.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.91 / $983.05 / $3,143.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.37 / $2,448.71 / $3,060.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.03 / $1,661.35 / $2,924.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.64 / $2,176.06 / $8,139.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.45 / $2,704.33 / $3,336.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.00 / $2,389.37 / $2,896.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.34 / $1,819.51 / $2,123.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.64 / $2,176.06 / $3,050.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.80 / $2,435.00 / $2,532.40