go back

South Dakota rates for HCPCS 50436

Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $194.98 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $354.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $245.47 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53