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South Dakota rates for HCPCS 52240

Cystourethroscopy W/Dest &/Rmvl Tumor Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.04 / $365.04 / $5,102.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.31 / $540.46 / $718.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.25 / $861.68 / $1,077.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.46 / $707.39 / $1,054.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.18 / $778.64 / $4,908.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.25 / $1,017.83 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.31 / $849.00 / $1,032.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.42 / $655.04 / $750.40
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
$511.99 / $699.41 / $1,087.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.40 / $875.80 / $910.80