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South Dakota rates for HCPCS 51080

Drainage of perivesical or prevesical space abscess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.69 / $391.69 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.80 / $391.69 / $1,173.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.20 / $931.80 / $1,164.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.93 / $661.96 / $1,086.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.10 / $816.84 / $6,221.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $1,070.76 / $2,197.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.00 / $903.20 / $1,088.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.74 / $682.43 / $802.80
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
$490.10 / $765.90 / $1,141.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.40 / $937.00 / $974.40