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South Dakota rates for HCPCS 54322

1 Stg Dstl Hypospadias Rpr W/Smpl Meatal Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.86 / $702.86 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.34 / $2,243.38 / $3,259.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.88 / $1,752.20 / $2,190.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.85 / $1,187.83 / $2,174.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.03 / $1,531.72 / $5,818.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.00 / $2,046.38 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.00 / $1,708.88 / $2,070.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.38 / $1,299.65 / $1,518.92
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
$919.03 / $1,531.72 / $2,178.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.30 / $1,741.50 / $1,811.20