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South Dakota rates for HCPCS 51605

Injection procedure and placement of chain for contrast and/or chain urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $70.79 / $457.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $64.57 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $107.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $91.20