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South Dakota rates for HCPCS 50434

Convert nephrostomy catheter to 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, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $933.25 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,071.52 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $457.09 / $1,995.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,202.26 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59