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South Dakota rates for HCPCS 50860

Ureterostomy Transplantation Ureter Skin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.31 / $893.31 / $893.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.73 / $893.31 / $2,715.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.91 / $2,115.26 / $2,644.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.19 / $1,509.69 / $2,529.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.56 / $1,887.60 / $7,031.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.94 / $2,336.11 / $2,880.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.00 / $2,064.76 / $2,499.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.94 / $1,574.66 / $1,835.26
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
$1,038.18 / $1,692.97 / $2,633.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.60 / $2,141.90 / $2,227.60