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South Dakota rates for HCPCS 53442

Rmvl/Revj Sling Male Urinary Incontinence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.65 / $747.65 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.89 / $1,259.98 / $2,089.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $2,054.48 / $5,645.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.23 / $1,303.81 / $1,533.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00