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South Dakota rates for HCPCS 52275

Cystourethroscopy W/Internal Urethrotomy Male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.73 / $537.35 / $537.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $473.17 / $657.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.71 / $863.76 / $1,485.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.95 / $676.63 / $1,338.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.60 / $1,353.86 / $4,157.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.98 / $1,163.21 / $1,712.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.53 / $916.02 / $1,264.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.38 / $743.22 / $996.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.25 / $955.49 / $1,486.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.30 / $580.29 / $1,210.00