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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
$2,187.76 / $2,187.76 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,162.28 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,495.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26