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South Dakota rates for HCPCS 50020

Drainage Perirenal/Renal Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.99 / $960.99 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.53 / $960.99 / $2,907.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.60 / $2,275.75 / $2,844.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.14 / $1,624.07 / $2,706.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.30 / $2,015.50 / $7,555.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.38 / $2,509.92 / $3,095.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.00 / $2,217.60 / $2,686.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.98 / $1,684.90 / $1,971.10
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
$1,324.61 / $2,015.50 / $2,823.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.40 / $2,300.50 / $2,392.50