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South Dakota rates for HCPCS 50435

Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.24 / $616.26 / $616.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,406.98 / $5,406.98 / $5,406.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.24 / $483.80 / $972.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.49 / $982.14 / $1,688.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.61 / $552.08 / $1,435.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.38 / $1,172.25 / $4,336.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.49 / $1,172.25 / $1,934.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.98 / $839.70 / $1,502.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.80 / $616.41 / $1,105.55
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
$572.50 / $1,035.16 / $1,610.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.70 / $230.80 / $1,341.90