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South Dakota rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $3,890.45 / $6,606.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $338.84 / $977.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $446.68 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $1,148.15 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $562.34 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $954.99 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $239.88 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $691.83 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $288.40 / $1,380.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $1,348.96