go back

South Dakota rates for HCPCS 54050

Dstrj Lesion Penis Simple Chemical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.01 / $136.30 / $240.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.38 / $312.61 / $423.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.80 / $362.50 / $1,082.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $271.32 / $347.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $211.73 / $273.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.80 / $264.66 / $378.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.20 / $252.20 / $338.60