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South Dakota rates for HCPCS 54055

Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $288.40 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $234.42 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $239.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $204.17 / $331.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $323.59