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South Dakota rates for HCPCS 54230

Injection Corpora Cavernosograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.72 / $98.01 / $98.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $91.13 / $98.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.26 / $225.94 / $307.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.28 / $154.01 / $229.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.38 / $201.92 / $903.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.55 / $222.62 / $325.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.52 / $199.45 / $255.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $155.90 / $200.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $185.50 / $280.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $185.90 / $249.20