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South Dakota rates for HCPCS 51500

Exc Urachal Cyst/Sinus W/Wo Umbilical Hernia Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.55 / $606.55 / $606.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.55 / $700.75 / $770.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.29 / $1,439.00 / $1,798.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.35 / $1,025.08 / $1,697.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.15 / $1,268.58 / $18,994.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $1,669.42 / $5,090.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.00 / $1,400.29 / $1,692.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.74 / $1,058.28 / $1,244.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.15 / $1,268.58 / $1,775.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.70 / $1,452.60 / $1,510.70