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South Dakota rates for HCPCS 51565

Cstc Prtl W/Rimpltj Urtr In Bldr Urtroneocstost

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.64 / $1,214.64 / $1,214.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.98 / $1,381.57 / $1,381.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,804.92 / $2,870.20 / $3,587.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.39 / $2,052.73 / $3,472.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.18 / $2,573.64 / $15,207.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.06 / $3,176.12 / $3,924.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.00 / $2,804.92 / $3,402.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.92 / $2,167.63 / $2,493.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.18 / $2,573.64 / $3,609.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.30 / $2,909.80 / $3,026.20