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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
$202.80 / $1,029.75 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.79 / $939.05 / $2,714.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.35 / $1,759.36 / $2,811.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.39 / $1,400.60 / $1,883.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00