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South Dakota rates for HCPCS 75565

Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)

Facilitymedian $12 · 10th–90th $12$120%50%100%$12Professionalmedian $46 · 10th–90th $12$1380%10%10th90th$46$10.0$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $32.36 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $26.92 / $33.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $89.13 / $158.49
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $18.62 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $97.72 / $120.23
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $25.12 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $93.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.95 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.89 / $30.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $120.23
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $30.90 / $30.90