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South Dakota rates for HCPCS 50384

Removal Indwelling Ureteral Stent Prq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.11 / $873.94 / $873.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.88 / $1,073.53 / $2,459.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.83 / $1,759.36 / $2,429.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.78 / $1,188.86 / $1,594.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00