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South Dakota rates for HCPCS 55831

Prostatectomy Retropubic Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.87 / $772.87 / $772.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.75 / $1,306.15 / $2,530.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.86 / $2,125.71 / $2,882.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.71 / $1,559.65 / $1,669.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$351.96 / $351.96 / $351.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00