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South Dakota rates for HCPCS 50360

Renal allotransplantation, implantation of graft; without recipient nephrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,370.32 / $5,370.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,168.69 / $4,786.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$933.25 / $933.25 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$933.25 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26