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South Dakota rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.20 / $161.90 / $161.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.82 / $151.22 / $409.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.87 / $394.42 / $511.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.48 / $255.56 / $463.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.50 / $468.17 / $1,332.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.78 / $368.88 / $458.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.00 / $360.87 / $458.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.92 / $273.64 / $349.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.01 / $468.17 / $489.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $326.30 / $416.50