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South Dakota rates for HCPCS 50785

Ureteroneocystostomy; with vesico-psoas hitch or bladder flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,818.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,041.74 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26