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South Dakota rates for HCPCS 54324

1 Stg Dstl Hypospadias Rpr W/Urtp Skin Flaps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $868.87 / $868.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.66 / $868.87 / $2,782.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.26 / $2,165.12 / $2,706.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.52 / $1,468.39 / $2,691.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.03 / $1,923.38 / $7,307.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.00 / $2,482.96 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.90 / $2,114.26 / $2,560.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.22 / $1,614.12 / $1,879.24
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
$1,154.03 / $1,923.38 / $2,698.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.40 / $2,154.60 / $2,240.80