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South Dakota rates for HCPCS 54406

Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.32 / $659.32 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.63 / $1,114.25 / $2,036.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.00 / $1,915.36 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.81 / $1,216.09 / $1,425.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00