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South Dakota rates for HCPCS 53860

Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.80 / $2,447.57 / $2,447.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.64 / $2,114.89 / $2,447.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.52 / $3,917.79 / $6,736.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.85 / $1,877.29 / $4,136.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.52 / $4,211.51 / $17,432.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.08 / $2,255.71 / $5,767.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.12 / $2,942.81 / $5,604.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.63 / $2,561.00 / $4,394.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.79 / $3,863.84 / $6,010.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.50 / $529.20 / $5,333.90