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South Dakota rates for HCPCS 52290

Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $389.05 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53