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South Dakota rates for HCPCS 50570

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.85 / $456.85 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.66 / $456.85 / $1,416.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.22 / $1,078.27 / $1,347.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.70 / $772.08 / $1,321.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.02 / $978.36 / $3,613.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $1,277.21 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.00 / $1,058.22 / $1,285.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.41 / $820.40 / $940.59
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
$538.10 / $876.40 / $1,363.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.10 / $1,097.80 / $1,141.70