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South Dakota rates for HCPCS 52305

Cysto Inc/Rescj Orifice Bldr Diverticulum 1/Mlt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.77 / $259.77 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.51 / $259.77 / $801.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.72 / $612.37 / $765.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.92 / $439.03 / $749.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.34 / $553.90 / $2,046.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $723.43 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.00 / $599.72 / $731.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.58 / $465.32 / $533.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.34 / $545.24 / $772.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.79 / $622.10 / $647.00