go back

South Dakota rates for HCPCS 50947

Laps Urtroneocstost W/Cstsc&Urtrl Stent Plmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.57 / $1,300.57 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.05 / $2,197.96 / $3,718.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.00 / $3,620.70 / $8,568.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.66 / $2,313.84 / $2,670.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$517.07 / $517.07 / $517.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00