go back

South Dakota rates for HCPCS 50525

Clsr Nephrovisceral Fistula W/Visc Rpr Abdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.18 / $1,344.18 / $1,344.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.71 / $1,344.18 / $4,243.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,147.94 / $3,179.83 / $3,935.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.60 / $2,039.34 / $4,062.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.64 / $2,991.06 / $10,618.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.00 / $3,519.99 / $4,583.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.00 / $3,232.87 / $3,945.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.05 / $2,520.39 / $2,873.53
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
$1,794.64 / $2,991.06 / $3,950.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,850.70 / $3,353.70 / $3,487.90