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South Dakota rates for HCPCS 50945

Laparoscopy, surgical; ureterolithotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,365.16 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,187.76 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,737.80 / $15,488.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,089.30 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,862.09 / $2,691.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,290.87