go back

South Dakota rates for HCPCS 50323

Bkbench Prepj Cadaver Donor Renal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.87 / $206.87 / $206.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.91 / $206.87 / $257.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.29 / $690.28 / $862.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.30 / $312.50 / $976.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.84 / $365.16 / $5,262.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.12 / $461.34 / $642.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.08 / $413.21 / $545.25
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
$214.78 / $331.11 / $515.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $135.50