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South Dakota rates for HCPCS 52355

Cysto/Pyeloscopy Rescj Pelvic Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.89 / $434.89 / $434.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.10 / $734.96 / $1,256.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.00 / $1,213.47 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.13 / $779.79 / $896.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00