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South Dakota rates for HCPCS 52240

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $5,128.61 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $851.14 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,096.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $912.01