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South Dakota rates for HCPCS 51060

Transvesical ureterolithotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.70 / $555.70 / $555.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.39 / $555.70 / $1,668.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.65 / $1,318.24 / $1,647.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.99 / $939.13 / $1,548.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.54 / $1,154.24 / $11,060.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.35 / $1,447.76 / $1,781.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.00 / $1,281.65 / $1,549.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.42 / $968.37 / $1,139.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.54 / $1,044.14 / $1,624.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.09 / $1,329.60 / $1,382.70