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South Dakota rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.63 / $1,137.63 / $1,137.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.85 / $1,137.63 / $3,476.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.07 / $2,688.67 / $3,360.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.70 / $1,922.59 / $3,238.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.65 / $2,401.08 / $9,503.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.25 / $2,976.79 / $3,675.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.00 / $2,628.07 / $3,188.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.78 / $2,013.87 / $2,335.96
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
$1,440.65 / $2,389.38 / $3,364.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.40 / $2,726.30 / $2,835.40