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South Dakota rates for HCPCS 51610

Injection procedure for retrograde urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $128.82 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $151.36 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $213.80 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $218.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $281.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $302.00