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South Dakota rates for HCPCS 50386

Removal (via snare/capture) 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
$151.72 / $761.60 / $761.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.72 / $662.43 / $1,314.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.17 / $448.96 / $2,129.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.30 / $701.07 / $1,895.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.52 / $1,626.43 / $5,505.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.55 / $1,387.25 / $1,979.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.26 / $1,460.88 / $1,979.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.14 / $1,045.63 / $1,402.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.06 / $1,357.38 / $2,111.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $380.00 / $1,702.30