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South Dakota rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $371.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $323.59 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $436.52 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $724.44 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $501.19 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $436.52 / $1,023.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $812.83