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South Dakota rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $1,549 · 10th–90th $603–$4,3650%20%10th90th$1,549Professionalmedian $891 · 10th–90th $603–$1,8200%10%10th90th$891$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,548.82 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,174.90 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,174.90 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,479.11 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $1,819.70
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,479.11 / $1,548.82