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South Dakota rates for HCPCS 53220

Excision or fulguration of carcinoma of urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.39 / $431.39 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.39 / $491.05 / $712.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.16 / $1,024.52 / $1,280.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.90 / $729.05 / $1,211.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.67 / $907.80 / $4,505.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.00 / $1,182.96 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.00 / $994.16 / $1,202.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.79 / $757.74 / $883.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,897.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.67 / $904.08 / $1,261.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.60 / $1,031.30 / $1,072.59