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South Dakota rates for HCPCS 75962

Transluminal Balloon Angiop Peripheral Art Rsi

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.12 / $309.50 / $386.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.91 / $756.55 / $1,668.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,432.00 / $5,432.00 / $5,432.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $456.00 / $456.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.24 / $452.32 / $1,115.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.63 / $225.70 / $708.32