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South Dakota rates for HCPCS 50706

Balloon Dilat Ureteral Stricture W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.56 / $855.01 / $855.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.30 / $776.98 / $1,973.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.49 / $1,504.41 / $2,707.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.14 / $1,037.22 / $1,554.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00