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South Dakota rates for HCPCS 54160

Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.41 / $205.10 / $205.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.36 / $206.93 / $358.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $410.00 / $635.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.62 / $320.22 / $573.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.16 / $591.26 / $1,672.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.34 / $443.21 / $680.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.04 / $438.00 / $582.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.08 / $319.76 / $428.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.08 / $443.38 / $617.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.50 / $337.10 / $511.40