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South Dakota rates for HCPCS 52007

Cysto W/Urtrl Cathj Brush Bx Urtr&/Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $453.37 / $453.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.57 / $566.74 / $1,196.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.09 / $1,056.81 / $2,896.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.75 / $613.97 / $823.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00