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South Dakota rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $575.44 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,348.96 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,412.54 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $1,513.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $1,000.00 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $229.09 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $1,445.44