go back

South Dakota rates for HCPCS 75658

Angiography, Brachial, Retrogr

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.16 / $364.58 / $455.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.02 / $350.27 / $851.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.23 / $2,521.23 / $2,521.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.55 / $321.55 / $495.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.55 / $352.39 / $975.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.66 / $272.69 / $332.70