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South Dakota rates for HCPCS 53450

Urethromeatoplasty, with mucosal advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.42 / $391.42 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.35 / $661.50 / $1,087.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $1,071.66 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.86 / $682.43 / $802.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00