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South Dakota rates for HCPCS 54336

1 Stg Perineal Hypospadias Rpr W/Grf&/Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.84 / $1,064.84 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.30 / $1,064.84 / $3,419.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,590.21 / $2,652.06 / $3,315.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.27 / $1,799.60 / $3,183.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.75 / $2,362.92 / $10,273.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.55 / $2,932.38 / $3,619.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.00 / $2,590.21 / $3,139.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.77 / $1,980.80 / $2,302.32
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
$1,530.59 / $2,472.50 / $3,312.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.80 / $2,639.70 / $2,745.30