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South Dakota rates for HCPCS 50020

Drainage of perirenal or renal abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,344.23 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,819.70 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,238.72 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $1,949.84
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
$1,096.48 / $1,905.46 / $2,818.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,398.83