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South Dakota rates for HCPCS 50760

Ureteroureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.68 / $1,057.68 / $1,057.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.87 / $1,787.48 / $2,995.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.89 / $2,763.71 / $3,483.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.58 / $1,883.91 / $2,189.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00