go back

South Dakota rates for HCPCS 50060

Nephrolithotomy Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.86 / $1,073.86 / $1,073.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.61 / $1,073.86 / $3,277.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.61 / $2,538.31 / $3,172.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.68 / $1,814.84 / $3,052.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.24 / $2,267.06 / $8,455.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.51 / $2,809.44 / $3,467.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.00 / $2,479.61 / $3,007.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.15 / $1,898.41 / $2,203.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.88 / $2,039.99 / $3,173.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.40 / $2,572.30 / $2,675.20