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South Dakota rates for HCPCS 50785

Urtroneocstost W/Vesico-Psoas Hitch/Bldr Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.58 / $1,141.58 / $1,141.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.60 / $1,929.29 / $3,243.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.62 / $2,983.42 / $3,696.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.69 / $2,021.42 / $2,354.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00