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South Dakota rates for HCPCS 54411

Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.78 / $925.78 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.02 / $1,451.59 / $2,744.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.38 / $2,544.50 / $3,137.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.58 / $1,708.69 / $1,999.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00