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South Dakota rates for HCPCS 54312

Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.14 / $737.14 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.35 / $737.14 / $2,351.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.11 / $1,838.68 / $2,298.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.62 / $1,245.77 / $2,278.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.27 / $1,688.78 / $7,737.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.00 / $2,141.54 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.80 / $1,791.11 / $2,168.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.08 / $1,361.73 / $1,592.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.83 / $1,467.13 / $2,282.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.50 / $1,825.30 / $1,898.30