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South Dakota rates for HCPCS 53010

Urethrotomy/Urethrostomy Xt Spx Perineal Urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.02 / $286.02 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.17 / $475.65 / $781.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $774.58 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.03 / $497.29 / $586.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00