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South Dakota rates for HCPCS 50700

Ureteroplasty Plastic Operation Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.34 / $875.34 / $875.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.39 / $875.34 / $2,658.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.55 / $2,073.19 / $2,591.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.83 / $1,479.32 / $2,476.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.33 / $1,835.56 / $6,888.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.77 / $2,288.44 / $2,821.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.00 / $2,022.55 / $2,448.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.72 / $1,541.59 / $1,797.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.33 / $1,657.35 / $2,578.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.40 / $2,098.10 / $2,182.10