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South Dakota rates for HCPCS 50540

Symphysiotomy Horseshoe Kdn W/Wo Plop Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.83 / $1,080.83 / $1,080.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.83 / $1,080.83 / $3,299.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.07 / $2,555.44 / $3,194.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.58 / $1,826.60 / $3,072.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.46 / $2,272.44 / $11,088.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.49 / $2,827.67 / $3,489.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.00 / $2,497.07 / $3,027.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.47 / $1,911.18 / $2,219.51
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
$1,491.97 / $2,270.19 / $3,193.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.80 / $2,590.40 / $2,694.00