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South Dakota rates for HCPCS 50396

Manometric Stds Thru Tube/Ndwellg Urtrl Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.82 / $110.82 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.64 / $110.82 / $335.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.36 / $260.22 / $325.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.90 / $187.29 / $321.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.30 / $235.50 / $858.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.00 / $300.67 / $641.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $250.36 / $306.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $195.19 / $222.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.30 / $227.02 / $329.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.80 / $259.70 / $270.10