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South Dakota rates for HCPCS 51710

Change of cystostomy tube; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.63 / $134.09 / $134.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $138.12 / $221.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.97 / $224.97 / $390.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.49 / $196.43 / $336.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.13 / $256.89 / $1,832.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.13 / $297.00 / $552.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.67 / $254.80 / $353.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.43 / $195.81 / $258.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.13 / $214.90 / $371.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $188.40 / $318.80