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South Dakota rates for HCPCS 51030

Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.85 / $1,069.70 / $1,337.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,295.00 / $8,295.00 / $8,295.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.04 / $798.00 / $2,845.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.00 / $886.07 / $973.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.59 / $781.53 / $794.60