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South Dakota rates for HCPCS 54408

Rpr Component Inflatable Penile Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.08 / $713.08 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.09 / $1,205.10 / $2,202.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.00 / $2,070.62 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.92 / $1,315.31 / $1,541.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00