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South Dakota rates for HCPCS 54163

Repair incomplete circumcision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.82 / $199.82 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.80 / $337.70 / $609.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $570.83 / $1,759.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.89 / $366.23 / $430.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00