go back

South Dakota rates for HCPCS 50780

Ureteroneocystostomy Anast 1 Ureter Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.07 / $1,041.07 / $1,041.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.63 / $1,759.41 / $2,954.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.24 / $2,729.48 / $3,391.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.04 / $1,849.68 / $2,160.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00