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South Dakota rates for HCPCS 50974

Ureteral Endoscopy Via Ureterot W/O Imaging W/Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.67 / $439.67 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.10 / $439.67 / $1,363.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.91 / $1,036.98 / $1,296.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $743.04 / $1,272.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.70 / $939.50 / $3,476.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $1,226.94 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,018.91 / $1,237.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.05 / $789.65 / $905.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.37 / $926.72 / $1,311.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.40 / $1,057.00 / $1,099.30