go back

South Dakota rates for HCPCS 50820

Ureteroileal Conduit W/Intestine Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.49 / $1,235.49 / $1,235.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.27 / $2,087.98 / $3,518.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.33 / $3,230.30 / $3,996.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.68 / $2,194.90 / $2,541.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$489.40 / $489.40 / $489.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00