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South Dakota rates for HCPCS 51729

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.76 / $387.76 / $2,290.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.50 / $118.50 / $118.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.30 / $384.65 / $597.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.03 / $132.90 / $190.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.19 / $237.40 / $406.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.11 / $836.75 / $1,045.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$260.85 / $276.58 / $345.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$510.71 / $560.16 / $700.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.65 / $573.69 / $955.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.26 / $684.10 / $2,844.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.72 / $252.86 / $930.32
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.74 / $454.55 / $1,914.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.00 / $610.86 / $1,218.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.36 / $783.11 / $1,040.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.55 / $591.69 / $696.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.97 / $211.19 / $241.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.57 / $386.58 / $454.77
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
$376.26 / $684.10 / $1,060.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.72 / $246.32 / $353.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.44 / $539.04 / $707.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.50 / $812.40 / $844.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.40 / $281.60 / $292.89
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$451.20 / $530.79 / $552.00