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South Dakota rates for HCPCS 52260

Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $478.63 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $316.23 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $371.54 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $489.78