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South Dakota rates for HCPCS 50070

Nephrolithotomy Comp Cgen Kdn Abnormality

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.08 / $1,116.08 / $1,116.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.41 / $1,116.08 / $3,408.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.31 / $2,638.03 / $3,297.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.74 / $1,886.18 / $3,174.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.40 / $2,440.66 / $9,186.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.35 / $2,919.97 / $3,606.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.00 / $2,579.31 / $3,128.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.80 / $1,973.84 / $2,292.61
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
$1,464.40 / $2,461.31 / $3,298.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.40 / $2,675.70 / $2,782.70