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South Dakota rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Facilitymedian $138 · 10th–90th $68–$2690%20%10th90th$138Professionalmedian $138 · 10th–90th $112–$3630%20%10th90th$138$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $134.90 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $194.98 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $138.04 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $154.88 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $263.03