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X-ray Study of the Veins Around the Eye

South Dakota rates for HCPCS 75880

X-ray imaging of the veins draining the eye socket, taken while contrast dye is injected so the vessels stand out. Displacement or blockage of these veins can reveal a mass, a malformation, or a clot behind the eye. This covers the imaging and the radiologist's interpretation.

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $115$2630%10%20%10th90th$158Professionalmedian $209 · 10th–90th $98$3240%10%10th90th$209$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$213.80
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$213.80