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South Dakota rates for HCPCS 52343

Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.92 / $320.92 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.86 / $320.92 / $991.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.09 / $757.29 / $946.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.07 / $542.35 / $926.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.18 / $683.64 / $3,137.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $892.17 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.59 / $743.09 / $901.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.74 / $575.55 / $660.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.18 / $674.40 / $954.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.20 / $770.90 / $801.70