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South Dakota rates for HCPCS 53425

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

Facilitymedian $2,188 · 10th–90th $891–$4,3650%20%10th90th$2,188Professionalmedian $1,202 · 10th–90th $891–$2,5120%20%10th90th$1,202$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $954.99 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,137.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,479.11 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,659.59 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,041.74 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,862.09 / $2,630.27
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,137.96 / $2,187.76