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South Dakota rates for HCPCS 54438

Replantation, penis, complete amputation including urethral repair

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.68 / $2,959.02 / $3,698.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,923.04 / $9,923.04 / $9,923.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.96 / $2,080.96 / $2,574.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.96 / $2,609.40 / $3,544.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.95 / $1,989.20 / $2,340.26