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South Dakota rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Facilitymedian $1,175 · 10th–90th $240–$5,4950%10%20%10th90th$1,175Professionalmedian $1,514 · 10th–90th $407–$2,0890%10%10th90th$1,514$500.0$1.0K$2.0K$5.0K

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
$239.88 / $1,148.15 / $5,495.41
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,380.38 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $616.60 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,513.56 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36