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South Dakota rates for HCPCS 75810

Splenoportography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,134.35 / $3,134.35 / $3,134.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,815.97 / $2,815.97 / $3,134.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.59 / $1,410.22 / $1,762.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.02 / $4,033.31 / $5,297.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $1,593.95 / $6,869.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.16 / $979.59 / $3,733.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $1,003.86 / $1,339.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.02 / $612.02 / $612.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.33 / $2,507.75 / $3,761.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,573.00 / $6,556.50 / $6,556.50