go back

South Dakota rates for HCPCS 54001

Slitting of prepuce, dorsal or lateral (separate procedure); except newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.71 / $184.84 / $184.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.02 / $170.87 / $398.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $400.26 / $573.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.97 / $288.77 / $482.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $518.50 / $1,931.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.14 / $438.34 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $378.40 / $491.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.96 / $289.38 / $375.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $368.12 / $543.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $329.40 / $462.80