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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
$103.89 / $136.03 / $136.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $146.55 / $290.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.65 / $330.14 / $427.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.30 / $207.86 / $367.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.73 / $378.58 / $1,085.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.91 / $285.43 / $439.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.91 / $285.43 / $374.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.05 / $222.53 / $285.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.73 / $282.88 / $395.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $265.39 / $340.90