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South Dakota rates for HCPCS 52277

Cystourethroscopy W/Resecj External Sphincter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.47 / $301.47 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.32 / $301.47 / $931.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.23 / $711.32 / $889.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.99 / $509.48 / $870.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.38 / $642.29 / $2,378.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $839.20 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.00 / $697.23 / $846.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.36 / $540.75 / $619.73
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
$353.27 / $633.79 / $896.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.79 / $723.30 / $752.20