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South Dakota rates for HCPCS 53515

Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.64 / $753.64 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.38 / $753.64 / $2,286.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.15 / $1,784.92 / $2,231.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.51 / $1,273.65 / $2,127.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.74 / $1,571.24 / $9,010.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.00 / $2,081.39 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.00 / $1,740.15 / $2,106.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.54 / $1,324.60 / $1,546.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.74 / $1,425.89 / $2,218.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.40 / $1,805.20 / $1,877.40