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South Dakota rates for HCPCS 54015

I&D Penis Deep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.64 / $463.97 / $848.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.00 / $799.72 / $1,311.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.72 / $509.42 / $592.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00