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South Dakota rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.19 / $1,062.19 / $1,062.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.08 / $1,062.19 / $3,242.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,452.67 / $2,510.26 / $3,137.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.62 / $1,795.10 / $3,019.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.77 / $2,244.62 / $8,473.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.53 / $2,778.69 / $3,429.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.00 / $2,452.67 / $2,974.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.15 / $1,878.11 / $2,180.05
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
$1,346.77 / $2,342.46 / $3,138.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.69 / $2,544.40 / $2,646.10