go back

South Dakota rates for HCPCS 51555

Cystectomy Partial Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.96 / $1,184.96 / $1,184.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.74 / $2,000.00 / $3,386.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.54 / $3,102.42 / $3,847.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.72 / $2,114.25 / $2,440.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00