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South Dakota rates for HCPCS 55812

Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,630.78 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,187.76 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,467.37 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $4,466.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $3,715.35