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South Dakota rates for HCPCS 52276

Cystourethroscopy W/Internal Urethrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.67 / $246.67 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.67 / $285.69 / $761.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.32 / $583.54 / $729.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.85 / $416.87 / $711.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.73 / $526.22 / $2,807.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $687.51 / $1,759.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.97 / $571.32 / $697.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.84 / $442.11 / $507.82
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
$315.73 / $518.62 / $733.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.80 / $592.70 / $616.40