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South Dakota rates for HCPCS 50393

Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.01 / $472.91 / $591.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.20 / $440.32 / $467.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.00 / $1,496.00 / $1,496.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $389.00 / $389.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $357.00 / $451.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.37 / $366.11 / $372.23