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South Dakota rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.48 / $402.48 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.54 / $402.48 / $1,206.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.20 / $956.73 / $1,195.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.05 / $680.19 / $1,147.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.16 / $836.94 / $3,301.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.88 / $983.68 / $1,286.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.67 / $927.20 / $1,119.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.46 / $709.58 / $824.15
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
$502.16 / $878.79 / $1,173.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.60 / $961.90 / $1,000.30