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South Dakota rates for HCPCS 75833

Venography, renal, bilateral, selective, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $218.78 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $316.23 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $407.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $295.12