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South Dakota rates for HCPCS 75842

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.08 / $901.69 / $901.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.87 / $371.56 / $464.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.84 / $249.31 / $726.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.87 / $318.92 / $3,492.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.23 / $365.35 / $540.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.44 / $392.75 / $661.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.07 / $291.14 / $308.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.14 / $318.92 / $358.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.30 / $320.39 / $320.39