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South Dakota rates for HCPCS 01916

Anesthesia Diagnostic Arteriography/Venograph

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$529.54 / $529.54 / $529.54
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$411.42 / $485.10 / $514.28
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$444.00 / $444.00 / $444.00
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$199.50 / $222.00 / $246.00
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$346.20 / $346.20 / $346.20