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South Dakota rates for HCPCS 53260

Excision or fulguration; urethral polyp(s), distal urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.80 / $199.80 / $199.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.92 / $303.61 / $515.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $514.35 / $2,896.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.62 / $333.03 / $406.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00