go back

South Dakota rates for HCPCS 52214

Cysto W/Destruction Of Lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.04 / $757.87 / $757.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.56 / $628.83 / $946.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.10 / $1,510.87 / $2,078.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.17 / $944.66 / $2,542.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.19 / $1,884.26 / $8,718.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.25 / $1,583.45 / $2,896.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.71 / $1,322.30 / $1,733.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $1,022.96 / $1,372.07
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
$965.43 / $1,396.84 / $2,076.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.70 / $408.30 / $1,665.40