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South Dakota rates for HCPCS 52285

Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $346.74 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $457.09 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $562.34 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $776.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $776.25