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South Dakota rates for HCPCS 51590

Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.79 / $1,809.79 / $1,809.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,058.55 / $5,179.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,008.86 / $4,738.99 / $5,874.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,420.53 / $3,221.27 / $3,724.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$720.27 / $720.27 / $720.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00