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South Dakota rates for HCPCS 53431

Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.70 / $1,086.70 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.03 / $1,086.70 / $3,318.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.17 / $2,568.69 / $3,210.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.01 / $1,836.52 / $3,090.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.13 / $2,291.88 / $9,743.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $3,013.04 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.00 / $2,510.17 / $3,043.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.46 / $1,922.20 / $2,231.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.13 / $2,396.31 / $3,212.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.40 / $2,604.00 / $2,708.20