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South Dakota rates for HCPCS 54150

Circumcision, using clamp or other device with regional dorsal penile or ring block

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $137.44 / $137.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.68 / $213.45 / $415.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $355.37 / $1,679.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $214.62 / $287.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00