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South Dakota rates for HCPCS 54416

Rmvl & Rplcmt Non-Nfltbl/Nfltbl Penile Prosthesi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.84 / $647.84 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.36 / $1,094.84 / $1,994.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.00 / $1,873.18 / $33,587.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.02 / $1,189.43 / $1,399.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,150.00 / $7,150.00 / $7,150.00