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South Dakota rates for HCPCS 52354

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.17 / $388.17 / $3,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.14 / $656.01 / $1,121.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $1,084.23 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.87 / $696.24 / $800.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00