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South Dakota rates for HCPCS 50100

Transection or repositioning of aberrant renal vessels (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.19 / $993.19 / $993.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.91 / $993.19 / $3,115.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.25 / $2,330.29 / $2,912.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.43 / $1,678.49 / $2,804.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.27 / $2,142.12 / $7,830.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.01 / $2,483.57 / $3,373.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.00 / $2,160.25 / $2,905.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.57 / $1,809.64 / $2,117.30
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
$1,408.13 / $2,058.14 / $2,909.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.40 / $2,471.10 / $2,570.00