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South Dakota rates for HCPCS 50972

Ndsc Ureterotomy Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.79 / $333.79 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.10 / $333.79 / $1,032.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $786.89 / $983.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $564.11 / $965.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.06 / $711.76 / $2,631.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $928.95 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $772.20 / $937.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.48 / $599.35 / $686.36
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
$427.06 / $711.76 / $994.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $801.10 / $833.10