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South Dakota rates for HCPCS 52265

Cystourethroscopy W/Dil Bladder Local Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.02 / $373.54 / $373.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.02 / $327.23 / $574.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.39 / $496.51 / $1,008.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.37 / $435.73 / $943.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.30 / $1,026.55 / $3,365.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.12 / $554.27 / $1,034.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.26 / $690.84 / $967.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.65 / $504.49 / $676.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.24 / $732.16 / $1,072.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $380.00 / $821.30