go back

South Dakota rates for HCPCS 50390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.03 / $89.03 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.94 / $150.46 / $264.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.00 / $247.71 / $693.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $160.72 / $179.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00