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South Dakota rates for HCPCS 75827

Venography Caval Superior Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.41 / $52.41 / $52.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.22 / $209.93 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.76 / $269.94 / $337.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $240.46 / $3,401.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.02 / $177.02 / $177.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.49 / $299.72 / $584.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.57 / $216.34 / $235.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.22 / $89.65 / $102.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $233.02 / $287.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.00 / $236.40 / $236.40