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South Dakota rates for HCPCS 75658

Aniography Brachial Retrograde Rs&I

Facilitymedian $794 · 10th–90th $257–$1,1750%20%40%10th90th$794Professionalmedian $372 · 10th–90th $263–$4680%20%10th90th$372$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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $467.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $794.33 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $616.60