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South Dakota rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.58 / $32.58 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.58 / $32.58 / $45.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.03 / $101.28 / $168.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $76.51 / $124.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $43.34 / $333.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $98.53 / $307.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $98.53 / $103.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $58.24 / $84.53