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South Dakota rates for HCPCS 51520

Cystotomy Simple Excision Vesical Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.71 / $567.71 / $567.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.11 / $567.71 / $1,706.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.30 / $1,346.28 / $1,682.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.32 / $959.43 / $1,584.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.52 / $1,184.20 / $9,677.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.00 / $1,559.92 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.00 / $1,309.30 / $1,582.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.84 / $989.27 / $1,163.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,897.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.52 / $1,184.20 / $1,660.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.50 / $1,358.20 / $1,412.60