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South Dakota rates for HCPCS 54340

Rpr Hypospadias Complctjs Clsr Inc/Exc Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.35 / $515.35 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.89 / $515.35 / $1,638.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.34 / $1,287.84 / $1,609.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.81 / $870.94 / $1,587.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.70 / $1,131.16 / $5,158.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $1,493.50 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,250.34 / $1,512.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.70 / $948.05 / $1,111.36
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
$678.70 / $1,131.16 / $1,589.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.09 / $1,274.20 / $1,325.20