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South Dakota rates for HCPCS 50840

Rplcmt All/Part Ureter Intestine Sgm W/Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.85 / $1,161.85 / $1,161.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.03 / $1,161.85 / $3,532.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.84 / $2,748.66 / $3,435.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.25 / $1,963.54 / $3,289.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.22 / $2,443.69 / $9,764.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.94 / $3,037.42 / $3,747.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.00 / $2,684.84 / $3,253.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.86 / $2,046.37 / $2,386.41
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
$1,344.04 / $2,201.67 / $3,424.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.40 / $2,785.20 / $2,896.60