go back

South Dakota rates for HCPCS 52450

Transurethral Incision Prostate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.51 / $453.51 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.61 / $766.43 / $1,250.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $1,238.58 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.72 / $791.31 / $930.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00