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South Dakota rates for HCPCS 50770

Transureteroureterostomy, anastomosis of ureter to contralateral ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.33 / $1,086.33 / $1,086.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.03 / $1,086.33 / $3,316.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.17 / $2,568.69 / $3,210.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.01 / $1,835.90 / $3,088.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.72 / $2,314.54 / $8,556.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.33 / $2,842.80 / $3,507.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.00 / $2,510.17 / $3,043.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.28 / $1,921.04 / $2,231.16
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
$1,388.72 / $3,066.47 / $3,210.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.40 / $2,604.00 / $2,708.20