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South Dakota rates for HCPCS 50606

Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.18 / $488.15 / $488.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $420.29 / $488.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.95 / $380.94 / $1,382.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.35 / $459.90 / $1,203.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.12 / $1,508.99 / $3,523.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.31 / $1,062.06 / $1,542.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.12 / $884.23 / $1,508.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.23 / $633.21 / $924.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.52 / $1,144.82 / $1,780.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.80 / $322.70 / $1,115.00