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South Dakota rates for HCPCS 50437

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; including new access into the renal collecting system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $4,168.69 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $331.13 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $537.03 / $602.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28