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South Dakota rates for HCPCS 51500

Excision of urachal cyst or sinus, with or without umbilical hernia repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,365.16 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $19,054.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,412.54 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $1,513.56