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South Dakota rates for HCPCS 50555

Renal Ndsc Nephros/Pyelostomy Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.20 / $394.43 / $394.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.64 / $652.82 / $1,058.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $1,021.28 / $8,364.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.69 / $655.30 / $807.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00