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South Dakota rates for HCPCS 50320

Donor nephrectomy (including cold preservation); open, from living donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,548.82 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,995.26 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,630.27 / $12,589.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,388.44 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $3,019.95
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
$1,584.89 / $2,884.03 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $3,630.78