go back

South Dakota rates for HCPCS 50500

Nephrorrhaphy, suture of kidney wound or injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.50 / $1,152.50 / $1,152.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.83 / $1,152.50 / $3,714.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.00 / $2,787.95 / $3,450.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.70 / $1,947.73 / $3,088.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.55 / $2,397.56 / $9,303.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.26 / $3,084.11 / $3,865.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.00 / $2,831.13 / $3,343.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.95 / $2,017.47 / $2,516.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.67 / $2,297.58 / $3,363.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.40 / $2,936.90 / $3,054.40