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South Dakota rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.94 / $719.94 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.38 / $719.94 / $2,296.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.34 / $1,795.83 / $2,244.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.78 / $1,216.70 / $2,225.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.50 / $1,589.16 / $8,255.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,362.00 / $1,874.65 / $2,439.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.00 / $1,750.34 / $2,117.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.30 / $1,330.40 / $1,555.79
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
$953.50 / $1,589.16 / $2,229.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.20 / $1,783.80 / $1,855.10