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South Dakota rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,365.16 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,019.95 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $2,691.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32