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South Dakota rates for HCPCS 55815

Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,981.07 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,162.28 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,801.89 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $3,388.44
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
$1,949.84 / $3,311.31 / $4,897.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $4,073.80