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South Dakota rates for HCPCS 54105

Biopsy Penis Deep Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.75 / $255.40 / $255.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.54 / $399.72 / $693.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.70 / $647.61 / $2,103.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.55 / $415.96 / $532.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00