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South Dakota rates for HCPCS 52010

Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $380.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $338.84 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $758.58 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $478.63 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $741.31 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $707.95
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
$213.80 / $446.68 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $851.14