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South Dakota rates for HCPCS 52000

Cystourethroscopy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,348.96 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $229.09 / $676.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$26.30 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $436.52 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $316.23 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $331.13 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $213.80 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $512.86