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South Dakota rates for HCPCS 50574

Renal Ndsc Nephrotomy W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.46 / $525.46 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.81 / $525.46 / $1,629.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.86 / $1,237.99 / $1,547.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.96 / $888.03 / $1,520.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.90 / $1,123.16 / $4,150.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,468.38 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,216.86 / $1,478.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.38 / $943.41 / $1,081.61
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
$673.90 / $1,008.20 / $1,568.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.00 / $1,262.40 / $1,312.90