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South Dakota rates for HCPCS 74440

Vasograpy Vesiculograpy/Epididymograpy Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.12 / $103.12 / $103.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $88.08 / $103.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $224.95 / $281.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.19 / $148.11 / $174.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $167.44 / $640.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.18 / $192.62 / $323.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $192.62 / $243.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $137.94 / $185.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $137.22 / $172.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $192.10 / $192.10