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South Dakota rates for HCPCS 53665

Dilat Female Urethra General/Cndj Spinal Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $35.47 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $40.77 / $56.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.78 / $82.58 / $103.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $59.96 / $104.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $76.48 / $914.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.00 / $100.53 / $1,759.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $80.78 / $100.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.43 / $64.06 / $71.81
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
$48.46 / $78.29 / $106.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $83.80 / $87.20