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South Dakota rates for HCPCS 51600

Injection procedure for cystography or voiding urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.21 / $336.98 / $3,858.62
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$20.61 / $20.61 / $108.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $216.24 / $698.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $350.60 / $602.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.99 / $225.81 / $428.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.38 / $403.96 / $2,111.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.88 / $377.00 / $680.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $359.46 / $489.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $270.91 / $395.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.50 / $371.20 / $588.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $100.50 / $480.50