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South Dakota rates for HCPCS 53452

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $630.96 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,047.13