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South Dakota rates for HCPCS 50557

Renal Ndsc Nephros/Pyelostomy Fulg&/Inc W/Wo Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.35 / $401.67 / $401.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.17 / $361.47 / $996.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.30 / $950.50 / $1,194.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.94 / $658.13 / $1,076.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.23 / $1,121.31 / $5,914.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,038.60 / $8,364.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.99 / $897.54 / $1,104.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.63 / $663.07 / $821.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.23 / $835.38 / $1,171.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.80 / $804.80 / $997.20