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South Dakota rates for HCPCS 51715

Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.78 / $366.59 / $366.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.78 / $323.42 / $1,018.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.63 / $584.52 / $1,005.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.95 / $489.78 / $761.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.94 / $615.62 / $3,318.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.88 / $606.94 / $4,021.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.14 / $564.10 / $840.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.19 / $474.75 / $680.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.94 / $615.62 / $957.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.80 / $467.20 / $826.00