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South Dakota rates for HCPCS 51535

Cystotomy Excise/Incise/Repair Ureterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.16 / $739.16 / $739.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.15 / $739.16 / $2,241.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.69 / $1,750.64 / $2,188.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.59 / $1,249.18 / $2,083.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.50 / $1,550.84 / $9,677.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.00 / $2,041.91 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.00 / $1,706.69 / $2,066.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.78 / $1,297.33 / $1,516.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.96 / $1,398.13 / $2,174.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.90 / $1,770.50 / $1,841.30