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South Dakota rates for HCPCS 75825

Venography Caval Inferior Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.70 / $51.70 / $51.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $207.31 / $293.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.15 / $260.64 / $325.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.18 / $231.53 / $3,401.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.44 / $179.44 / $179.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.39 / $289.29 / $585.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.78 / $210.19 / $230.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.33 / $90.22 / $102.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.61 / $225.27 / $282.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.30 / $229.70 / $229.70