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South Dakota rates for HCPCS 54110

Excision of penile plaque (Peyronie disease);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.46 / $563.46 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.89 / $952.25 / $1,739.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.00 / $1,638.91 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.61 / $1,037.98 / $1,217.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00