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South Dakota rates for HCPCS 51525

Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.48 / $812.48 / $812.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.30 / $1,373.09 / $2,296.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.40 / $2,119.02 / $2,620.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.25 / $1,430.77 / $1,665.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00