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South Dakota rates for HCPCS 50365

Renal Altrnsplj Impltj Grf W/Rcp Nephrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.67 / $2,669.67 / $2,669.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,406.07 / $2,669.67 / $8,239.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,933.31 / $6,291.23 / $7,864.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.81 / $4,066.26 / $7,411.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,292.02 / $5,578.95 / $30,904.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,272.47 / $6,987.31 / $8,981.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,808.00 / $6,392.97 / $7,759.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,559.87 / $4,830.32 / $5,682.37
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
$3,292.02 / $5,811.34 / $7,763.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,637.10 / $6,631.90 / $6,897.20