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South Dakota rates for HCPCS 51570

Cystectomy, complete; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,162.28 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26