go back

South Dakota rates for HCPCS 75958

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption), radiological supervision and interpretation

Insurance Carrier
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$749.59 / $749.59 / $749.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$242.18 / $316.04 / $360.32