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South Dakota rates for HCPCS 51865

Cystorrhaphy, suture of bladder wound, injury or rupture; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.76 / $845.76 / $845.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.54 / $1,429.33 / $2,386.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.31 / $2,206.44 / $2,747.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.25 / $1,495.18 / $1,736.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00