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South Dakota rates for HCPCS 50948

Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,365.16 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $3,019.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32