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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
$1,383.46 / $1,383.46 / $1,383.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.88 / $2,104.67 / $3,959.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.52 / $3,621.55 / $4,474.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.05 / $2,465.27 / $2,841.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00