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South Dakota rates for HCPCS 52442

Cysto Insertion Transprostatic Implant Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.16 / $889.50 / $5,013.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $629.27 / $1,408.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.41 / $154.35 / $2,432.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.94 / $790.44 / $2,140.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.99 / $2,165.34 / $6,302.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.94 / $1,426.33 / $2,772.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.89 / $1,586.63 / $2,424.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.03 / $1,181.15 / $1,584.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.54 / $1,826.10 / $2,840.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.90 / $118.60 / $1,923.00