go back

South Dakota rates for HCPCS 75710

Angiography Extremity Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.09 / $153.09 / $4,945.75
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.95 / $79.95 / $79.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $235.93 / $335.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.81 / $69.30 / $300.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$65.81 / $65.81 / $76.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.33 / $184.12 / $267.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.68 / $335.88 / $419.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.94 / $176.86 / $221.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.05 / $159.02 / $198.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.53 / $237.66 / $705.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.33 / $299.42 / $3,102.49
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.52 / $114.66 / $551.37
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.14 / $145.13 / $2,808.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.27 / $349.86 / $502.67
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.22 / $177.22 / $177.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $371.46 / $640.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $262.83 / $287.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.20 / $116.72 / $156.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.42 / $130.66 / $190.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.75 / $243.82 / $322.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.56 / $114.66 / $154.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.68 / $138.61 / $223.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.50 / $298.20 / $298.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.19 / $162.60 / $162.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.30 / $135.69 / $135.69