go back

South Dakota rates for HCPCS 54300

Penis Straightening Chordee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.30 / $582.30 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.83 / $984.10 / $1,796.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.00 / $1,692.76 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.56 / $1,069.56 / $1,258.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00