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South Dakota rates for HCPCS 50135

Pyelotomy Complicated

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.52 / $2,480.65 / $3,100.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,711.23 / $8,711.23 / $8,711.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.68 / $1,932.00 / $2,464.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.68 / $2,073.51 / $2,327.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.23 / $1,869.98 / $1,948.81