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South Dakota rates for HCPCS 50385

Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,023.29 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,258.93 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,584.89 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53