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South Dakota rates for HCPCS 52402

Csto W/Trurl Rescj/Inc Ejaculatory Duxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.38 / $247.38 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.13 / $247.38 / $768.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.32 / $581.21 / $726.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.64 / $418.07 / $718.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.52 / $529.22 / $1,952.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.00 / $693.79 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $571.32 / $697.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.30 / $445.41 / $507.82
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
$317.52 / $475.56 / $739.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.80 / $592.70 / $616.40