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South Dakota rates for HCPCS 75630

Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation

Facilitymedian $91 · 10th–90th $91–$910%50%100%$91Professionalmedian $162 · 10th–90th $91–$3630%5%10%10th90th$162$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $169.82 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $95.50 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $208.93 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $269.15 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $138.04 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $331.13 / $371.54
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $194.98 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $302.00 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $147.91 / $213.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $186.21 / $186.21