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South Dakota rates for HCPCS 53453

Periurethral Tprnl Adjtbl Balo Cntnc Dev Rmvl Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.14 / $402.14 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.65 / $402.14 / $402.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.54 / $1,481.85 / $1,852.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.96 / $279.95 / $1,036.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.08 / $1,258.32 / $3,914.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.54 / $1,003.92 / $3,889.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.32 / $988.60 / $1,033.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $1,690.76 / $1,766.46