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South Dakota rates for HCPCS 51585

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,137.96 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,801.89 / $30,199.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,570.88 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $4,073.80
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
$2,290.87 / $3,981.07 / $5,888.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $4,897.79