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South Dakota rates for HCPCS 52341

Cysto W/Tx Ureteral Stricture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.22 / $265.22 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.53 / $448.22 / $763.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.00 / $737.78 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.06 / $474.02 / $544.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00