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South Dakota rates for HCPCS 54235

Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.61 / $82.52 / $82.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.76 / $95.00 / $135.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $209.38 / $262.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.12 / $130.06 / $237.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.16 / $236.75 / $675.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $189.63 / $231.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $182.62 / $231.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.28 / $144.91 / $179.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.16 / $159.01 / $247.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $172.80 / $213.70