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South Dakota rates for HCPCS 50815

Ureterocolon Conduit Intestine Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.57 / $1,155.57 / $1,155.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.52 / $1,155.57 / $3,513.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.84 / $2,733.08 / $3,416.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.37 / $1,952.91 / $3,272.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.75 / $2,432.92 / $9,764.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.32 / $3,021.39 / $3,729.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.00 / $2,668.84 / $3,235.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.64 / $2,035.92 / $2,372.17
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
$1,459.75 / $2,426.00 / $3,407.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.30 / $2,768.60 / $2,879.30