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South Dakota rates for HCPCS 54055

Dstrj Lesion Penis Simple Electrodesiccation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.57 / $124.37 / $175.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.16 / $295.94 / $407.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.83 / $333.26 / $1,715.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $245.76 / $311.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.54 / $193.67 / $261.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.78 / $268.25 / $354.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $227.60 / $324.70