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South Dakota rates for HCPCS 55980

Intersex surgery; female to male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.79 / $3,745.79 / $3,745.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,446.50 / $3,745.79 / $3,745.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,853.70 / $9,219.79 / $9,660.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,928.50 / $5,824.59 / $11,459.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,520.14 / $7,660.60 / $30,534.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,377.58 / $9,450.28 / $12,572.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,781.06 / $7,876.42 / $10,552.39
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
$4,596.35 / $7,660.60 / $10,742.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,448.97 / $3,448.97 / $3,448.97