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South Dakota rates for HCPCS 54135

Amputation Penis Radical W/Lymph Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.89 / $1,348.89 / $1,348.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.22 / $1,348.89 / $4,347.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,283.81 / $3,355.58 / $4,194.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.24 / $2,172.23 / $4,051.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.97 / $3,001.62 / $12,894.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,355.66 / $3,719.63 / $4,595.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.00 / $3,283.81 / $3,983.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.48 / $2,518.65 / $2,918.81
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
$1,940.39 / $3,145.08 / $4,206.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,844.60 / $3,346.60 / $3,480.40