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South Dakota rates for HCPCS 51800

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.13 / $980.13 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.14 / $980.13 / $2,989.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,263.46 / $2,317.82 / $2,897.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.89 / $1,656.42 / $2,790.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.23 / $2,073.71 / $9,256.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.39 / $2,562.08 / $3,160.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.00 / $2,263.46 / $2,744.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.28 / $1,738.28 / $2,011.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.23 / $2,057.16 / $2,899.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.80 / $2,348.10 / $2,442.00