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South Dakota rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Facilitymedian $219 · 10th–90th $89–$4,3650%20%10th90th$219Professionalmedian $162 · 10th–90th $126–$1950%20%10th90th$162$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $190.55 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $204.17 / $229.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $162.18 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59