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South Dakota rates for HCPCS 50070

Nephrolithotomy; complicated by congenital kidney abnormality

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,691.53 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,137.96 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $2,290.87
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
$1,348.96 / $2,344.23 / $3,311.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $2,754.23