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South Dakota rates for HCPCS 50060

Nephrolithotomy; removal of calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,148.15 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,041.74 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $3,162.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $2,691.53