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South Dakota rates for HCPCS 50974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $467.74 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $851.14 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,318.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,096.48