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South Dakota rates for HCPCS 50431

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access

Facilitymedian $331 · 10th–90th $62–$2,2910%10%10th90th$331Professionalmedian $214 · 10th–90th $62–$6030%10%10th90th$214$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
$61.66 / $331.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $537.03 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $234.42 / $660.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $331.13 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $478.63 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $309.03 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $186.21 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $724.44