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South Dakota rates for HCPCS 53449

Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28