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South Dakota rates for HCPCS 54056

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $190.55 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $269.15 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $288.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $234.42 / $380.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $338.84