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South Dakota rates for HCPCS 75605

Aortography, thoracic, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.42 / $52.42 / $52.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.22 / $124.50 / $405.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.47 / $276.92 / $346.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.19 / $240.81 / $3,099.85
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$180.88 / $180.88 / $180.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.89 / $298.63 / $614.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $221.87 / $246.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.33 / $89.65 / $102.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.60 / $194.98 / $275.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.10 / $242.50 / $242.50