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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
$1,621.81 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $3,890.45 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $3,090.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,606.93 / $6,606.93