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South Dakota rates for HCPCS 52290

Cystourethroscopy W/Ureteral Meatotomy Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.70 / $227.70 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.04 / $384.81 / $656.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.00 / $633.67 / $1,759.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.76 / $407.88 / $468.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00