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South Dakota rates for HCPCS 50561

Renal Ndsc Nephros/Pyelostomy Rmvl Fb/Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.15 / $455.01 / $455.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.36 / $756.13 / $1,218.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.00 / $1,179.31 / $4,412.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.17 / $755.58 / $930.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00