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South Dakota rates for HCPCS 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.49 / $261.49 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.49 / $441.92 / $754.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $728.80 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.87 / $468.80 / $536.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00