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South Dakota rates for HCPCS 54100

Biopsy Penis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.64 / $191.14 / $191.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $191.14 / $295.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.36 / $346.70 / $586.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.28 / $280.93 / $513.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.24 / $536.78 / $3,577.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.92 / $398.35 / $1,239.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.10 / $366.03 / $531.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $289.27 / $392.67
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
$237.24 / $395.40 / $560.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.40 / $283.10 / $468.20