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South Dakota rates for HCPCS 53275

Excision or fulguration; urethral prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.68 / $249.68 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.01 / $421.96 / $701.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $688.42 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.82 / $437.47 / $511.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00