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South Dakota rates for HCPCS 73206

Ct Angiography Upper Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.37 / $86.37 / $86.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.13 / $274.86 / $681.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.97 / $86.37 / $121.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.42 / $708.21 / $885.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$157.33 / $192.37 / $240.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.10 / $611.85 / $2,854.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.54 / $165.78 / $536.20
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$283.55 / $283.55 / $283.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.32 / $644.79 / $843.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.59 / $523.38 / $587.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.84 / $143.55 / $163.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.10 / $595.30 / $673.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.26 / $165.78 / $188.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.79 / $683.30 / $683.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.40 / $191.00 / $191.00