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South Dakota rates for HCPCS 53451

Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $2,089.30