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South Dakota rates for HCPCS 52005

Cysto Bladder W/Ureteral Catheterization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.51 / $303.30 / $4,336.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $303.30 / $468.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.83 / $479.17 / $823.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $356.54 / $685.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.39 / $751.77 / $3,439.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.33 / $541.00 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.79 / $520.75 / $698.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.86 / $410.44 / $550.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.39 / $532.64 / $828.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.40 / $312.50 / $668.20