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South Dakota rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $239.88 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $537.03 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $380.19 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $512.86 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $457.09
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
$263.03 / $457.09 / $660.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $562.34