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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
$1,196.52 / $1,196.52 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.17 / $2,022.12 / $3,418.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.00 / $3,339.75 / $8,568.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.08 / $2,124.69 / $2,467.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00