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South Dakota rates for HCPCS 50970

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.13 / $345.13 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.74 / $345.13 / $1,068.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.11 / $814.16 / $1,017.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $583.27 / $998.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.78 / $736.30 / $2,725.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $962.15 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.00 / $799.11 / $970.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.61 / $620.23 / $710.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.78 / $726.34 / $1,028.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.60 / $829.00 / $862.10