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South Dakota rates for HCPCS 51020

Cystotomy/Cystostomy Fulg&/Insj Radact Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.15 / $450.15 / $450.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.81 / $450.15 / $1,347.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.65 / $1,069.70 / $1,337.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.92 / $760.75 / $1,245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.71 / $934.52 / $8,295.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $1,232.32 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.00 / $1,035.65 / $1,251.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.27 / $782.51 / $920.54
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
$560.71 / $942.70 / $1,309.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.20 / $1,074.40 / $1,117.30