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South Dakota rates for HCPCS 51705

Change of cystostomy tube; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.83 / $96.01 / $291.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $96.01 / $160.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $148.41 / $282.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.35 / $127.00 / $236.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.94 / $255.38 / $725.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.11 / $156.43 / $241.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.11 / $181.73 / $241.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.33 / $141.31 / $183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.58 / $171.52 / $266.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.80 / $123.30 / $230.10