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South Dakota rates for HCPCS 51575

Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,819.70 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,073.80 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,235.94 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,981.07 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $5,011.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,073.80 / $4,265.80