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South Dakota rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $111.42 / $345.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.92 / $275.02 / $343.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $241.54 / $1,156.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.68 / $264.92 / $324.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.37 / $200.75 / $235.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $241.54 / $342.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $270.00 / $280.80