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South Dakota rates for HCPCS 54348

Rpr Hypospadias Complctjs Dsj & Urtp Flap/Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.24 / $906.24 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.35 / $906.24 / $2,915.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.23 / $2,258.61 / $2,823.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.13 / $1,531.55 / $2,806.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.95 / $2,014.92 / $7,823.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.00 / $2,645.05 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $2,205.23 / $2,669.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.86 / $1,704.05 / $1,960.11
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
$1,208.95 / $1,995.02 / $2,819.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.20 / $2,247.40 / $2,337.19