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South Dakota rates for HCPCS 53855

Insert Temp Prostatic Ureth Stent W/Measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.80 / $577.50 / $668.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $1,069.35 / $1,838.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.76 / $1,739.77 / $4,774.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.85 / $1,200.90 / $1,825.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $937.49 / $1,267.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.76 / $1,362.24 / $2,119.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $190.80 / $1,460.50