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South Dakota rates for HCPCS 53250

Excision Of Bulbourethral Gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.39 / $379.39 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.48 / $379.39 / $1,136.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.54 / $902.98 / $1,128.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.75 / $641.16 / $1,052.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.39 / $813.98 / $4,956.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $1,036.67 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.00 / $875.54 / $1,055.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.75 / $661.53 / $778.22
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
$488.39 / $793.58 / $1,105.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.00 / $908.30 / $944.60