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South Dakota rates for HCPCS 75833

Venography Renal Bilateral Selective Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.66 / $150.66 / $150.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.56 / $150.66 / $431.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.95 / $337.43 / $421.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $230.79 / $725.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.25 / $288.67 / $3,960.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.08 / $341.35 / $500.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.52 / $356.41 / $658.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.18 / $270.11 / $285.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.36 / $288.67 / $325.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.40 / $296.89 / $296.89