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South Dakota rates for HCPCS 53425

Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,137.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,041.74 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $2,630.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $2,187.76