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South Dakota rates for HCPCS 75825

Venography, caval, inferior, with serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $389.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $288.40
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $112.20 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $234.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $229.09