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South Dakota rates for HCPCS 50395

Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.92 / $387.99 / $484.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.26 / $1,692.26 / $1,692.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.95 / $279.95 / $322.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $291.00 / $371.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.68 / $301.12 / $306.16