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South Dakota rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Facilitymedian $646 · 10th–90th $263–$4,3650%20%10th90th$646Professionalmedian $479 · 10th–90th $372–$5750%20%10th90th$479$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $602.56 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36