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South Dakota rates for HCPCS 50693

Plmt Urtrl Stent Prq Pre-Existing Nfros Tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.36 / $1,016.26 / $1,016.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.56 / $921.19 / $2,726.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.96 / $2,074.23 / $3,206.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.42 / $1,056.26 / $1,843.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00