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South Dakota rates for HCPCS 51727

Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $107.15 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $269.15 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$229.09 / $239.88 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $575.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $630.96 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $190.55 / $794.33
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $416.87 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $758.58
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $229.09 / $251.19
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $501.19 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $416.87 / $416.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $181.97 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $398.11 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $630.96 / $954.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $208.93 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $436.52 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $234.42 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $537.03 / $549.54