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South Dakota rates for HCPCS 88302

Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $45.71 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.01 / $39.81 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $69.18 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $58.88 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.75 / $16.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $46.77 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $52.48 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $52.48 / $263.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.17 / $11.48 / $144.54
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $21.88 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $58.88
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $12.30 / $12.30
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $39.81 / $46.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $74.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.48 / $12.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $50.12 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $24.55 / $61.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.98 / $5.89 / $14.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $18.62 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $77.62
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $14.45 / $15.85
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $58.88 / $63.10