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South Dakota rates for HCPCS 53240

Marsupialization of urethral diverticulum, male or female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.36 / $406.36 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.77 / $406.36 / $1,220.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.96 / $965.30 / $1,206.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $686.75 / $1,130.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.67 / $846.12 / $3,183.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.00 / $1,112.08 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.00 / $935.96 / $1,130.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.07 / $707.17 / $831.91
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
$507.67 / $761.40 / $1,184.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.30 / $970.90 / $1,009.80