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South Dakota rates for HCPCS 52402

Cystourethroscopy with transurethral resection or incision of ejaculatory ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $478.63 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $616.60