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South Dakota rates for HCPCS 52320

Cystourethroscopy W/Rmvl Ureteral Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.68 / $229.68 / $9,245.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.77 / $388.16 / $663.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $639.94 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.35 / $411.94 / $473.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00