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South Dakota rates for HCPCS 53210

Urethrectomy, total, including cystostomy; female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.50 / $735.50 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.10 / $1,243.00 / $2,064.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.00 / $2,015.89 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.68 / $1,293.91 / $1,522.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00