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South Dakota rates for HCPCS 50436

Perq Dilation Xst Trc Endourologic Px W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.30 / $212.69 / $367.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $391.32 / $3,889.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.99 / $254.76 / $290.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00