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South Dakota rates for HCPCS 53040

Drainage of deep periurethral abscess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.27 / $375.27 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.59 / $375.27 / $1,127.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.35 / $891.29 / $1,114.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.18 / $634.21 / $1,044.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.19 / $781.98 / $4,691.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $1,027.69 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.00 / $865.35 / $1,044.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.26 / $653.83 / $769.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.19 / $704.16 / $1,095.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.00 / $897.70 / $933.60