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South Dakota rates for HCPCS 54057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.25 / $134.38 / $134.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.85 / $208.48 / $351.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.40 / $308.72 / $1,716.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.31 / $202.57 / $271.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00