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South Dakota rates for HCPCS 54308

Urethroplasty 2nd Stage Hypospadias Rpr <3 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.87 / $645.87 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.58 / $645.87 / $2,055.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.13 / $1,611.18 / $2,013.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.40 / $1,091.52 / $1,995.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.10 / $1,421.84 / $6,877.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.00 / $1,875.87 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.00 / $1,569.13 / $1,899.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.32 / $1,189.41 / $1,394.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.10 / $1,421.84 / $1,996.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.20 / $1,599.10 / $1,663.10