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Removal Of Scar Tissue From A Prior Circumcision

South Dakota rates for HCPCS 54162

This is a procedure that separates or removes scar tissue, called adhesions, that has formed on the penis after a previous circumcision. These adhesions can cause the skin edges to stick together in a way that isn't expected to heal on its own. Freeing or removing the tissue restores normal separation and appearance.

Rates data updated July 2026.

Facilitymedian $2,951 · 10th–90th $407$3,8900%20%40%10th90th$2,951Professionalmedian $372 · 10th–90th $191$9770%5%10%10th90th$372$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,951.21
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$977.24
Avera
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$602.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$426.58
Typical High
$691.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$645.65