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South Dakota rates for HCPCS 53500

Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.65 / $708.65 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.45 / $1,197.61 / $1,996.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.02 / $1,844.53 / $2,294.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.54 / $1,246.27 / $1,455.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00