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South Dakota rates for HCPCS 53600

Dilat Urethral Strix Dilator Male 1st

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.89 / $85.87 / $85.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $85.87 / $141.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.02 / $176.27 / $252.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $129.97 / $219.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $227.08 / $1,950.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.52 / $166.04 / $222.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.01 / $167.27 / $222.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.80 / $128.77 / $167.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $152.51 / $237.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.60 / $150.00 / $209.60