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South Dakota rates for HCPCS 52342

Cysto W/Tx Ureteropelvic Junction Stricture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.24 / $288.24 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.64 / $487.13 / $831.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.00 / $802.40 / $3,079.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.20 / $516.96 / $593.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00