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South Dakota rates for HCPCS 52325

Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.39 / $298.39 / $298.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.97 / $504.30 / $863.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.00 / $832.03 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.90 / $536.10 / $613.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00