go back

South Dakota rates for HCPCS 55812

Prostatectomy Perineal Radical W/Lymph Node Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.15 / $1,436.15 / $1,436.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.97 / $1,436.15 / $4,627.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,494.16 / $3,571.39 / $4,464.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.72 / $2,251.03 / $4,311.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.15 / $3,238.58 / $11,913.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.76 / $3,958.69 / $4,890.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.00 / $3,494.16 / $4,241.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.44 / $2,680.52 / $3,105.77
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
$2,136.50 / $3,176.96 / $4,477.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.80 / $3,560.90 / $3,703.30