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South Dakota rates for HCPCS 52310

Cysto W/Simple Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.51 / $316.55 / $2,638.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $275.94 / $860.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.79 / $465.21 / $871.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $402.97 / $768.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.98 / $683.34 / $2,544.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.78 / $624.91 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.98 / $457.80 / $850.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.55 / $397.05 / $584.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.98 / $523.44 / $814.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.10 / $354.90 / $709.80