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South Dakota rates for HCPCS 50562

Renal Ndsc Nephros/Pyelostomy Rescj Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.79 / $540.79 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.07 / $540.79 / $1,674.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.34 / $1,276.17 / $1,595.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.51 / $913.95 / $1,559.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.94 / $1,154.90 / $4,265.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,506.08 / $8,958.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.00 / $1,250.34 / $1,518.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.98 / $968.93 / $1,111.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.94 / $1,137.09 / $1,610.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.50 / $1,297.09 / $1,349.00