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South Dakota rates for HCPCS 75736

Angiography Pelvic Slctv/Supraslctv Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.95 / $51.95 / $51.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.01 / $233.12 / $331.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.68 / $335.88 / $419.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $279.11 / $3,098.01
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.79 / $177.79 / $177.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $345.02 / $638.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.90 / $261.43 / $280.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.45 / $86.81 / $98.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.77 / $279.11 / $335.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.20 / $290.80 / $290.80