go back

South Dakota rates for HCPCS 50225

Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.88 / $1,126.88 / $1,126.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.74 / $1,126.88 / $3,453.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.21 / $2,641.15 / $3,301.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.66 / $1,904.43 / $3,202.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.19 / $2,371.98 / $8,934.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859.18 / $2,967.31 / $3,669.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.00 / $2,582.21 / $3,188.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.58 / $1,999.95 / $2,295.19
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
$1,423.19 / $2,475.29 / $3,326.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.90 / $2,678.70 / $2,785.90