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South Dakota rates for HCPCS 50382

Rmvl & Rplcmt Intly Dwelling Ureteral Stent Prq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.47 / $1,024.14 / $1,024.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.60 / $1,252.94 / $2,831.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.32 / $1,759.36 / $2,800.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.83 / $1,390.35 / $1,958.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00