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South Dakota rates for HCPCS 50561

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $457.09 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $933.25 / $1,122.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53