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South Dakota rates for HCPCS 52352

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.24 / $982.40 / $2,951.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.24 / $397.02 / $6,911.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.91 / $779.88 / $974.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.12 / $700.92 / $2,714.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.15 / $703.58 / $5,068.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $919.09 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $764.91 / $927.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.71 / $592.96 / $679.89
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
$422.15 / $688.82 / $983.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.50 / $793.50 / $825.20