go back

South Dakota rates for HCPCS 53085

Drainage of perineal urinary extravasation; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.17 / $617.17 / $617.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.32 / $617.17 / $1,864.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.83 / $1,463.15 / $1,828.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.32 / $1,043.03 / $1,731.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.08 / $1,301.80 / $4,839.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,617.09 / $1,983.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.95 / $1,422.83 / $1,721.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.17 / $1,079.75 / $1,264.69
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
$781.08 / $1,301.80 / $1,811.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.59 / $1,476.00 / $1,535.10