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South Dakota rates for HCPCS 51596

Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.82 / $2,209.82 / $2,209.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.90 / $3,358.32 / $6,301.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,665.93 / $5,782.14 / $7,155.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.15 / $3,915.77 / $4,550.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00