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South Dakota rates for HCPCS 52287

Cystourethroscopy Inj Chemodenervation Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.99 / $387.38 / $3,571.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $324.76 / $1,188.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $466.49 / $1,057.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.84 / $454.63 / $807.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.06 / $775.80 / $2,871.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.48 / $768.04 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.51 / $599.97 / $882.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.14 / $511.16 / $709.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.06 / $651.13 / $1,012.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.39 / $395.70 / $861.40