go back

South Dakota rates for HCPCS 54065

Dstrj Lesion Penis Extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.31 / $208.29 / $208.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.40 / $226.96 / $318.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.56 / $500.57 / $651.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.79 / $324.72 / $568.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.57 / $434.28 / $2,321.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.46 / $520.39 / $1,716.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.68 / $444.29 / $585.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.02 / $340.92 / $438.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.62 / $434.28 / $616.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.20 / $406.50 / $523.00