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South Dakota rates for HCPCS 53449

Rpr Nfltbl Urethral/Bladder Neck Sphincter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.32 / $584.32 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.67 / $987.50 / $1,631.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.00 / $1,607.51 / $8,364.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.04 / $1,017.32 / $1,196.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00