go back

South Dakota rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.42 / $884.42 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $884.42 / $2,690.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.19 / $2,090.33 / $2,612.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.33 / $1,494.67 / $2,506.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.13 / $1,860.22 / $7,796.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.00 / $2,449.39 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.00 / $2,042.19 / $2,476.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.99 / $1,559.00 / $1,815.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.55 / $2,497.09 / $2,608.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.80 / $2,118.50 / $2,203.30