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South Dakota rates for HCPCS 50951

Ureteral Endoscopy Via Ureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.86 / $362.44 / $362.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.65 / $551.62 / $963.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $926.03 / $2,896.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.47 / $588.67 / $740.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00