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South Dakota rates for HCPCS 0499T

Cystourethroscopy, with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis, including fluoroscopy, when performed

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.25 / $204.79 / $467.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.09 / $2,025.09 / $2,025.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.25 / $472.25 / $472.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.25 / $472.25 / $693.06