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South Dakota rates for HCPCS 75964

Trluml Baloon Angiop Peripher Ea Addl Art Rs&I

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $426.58 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $144.54 / $380.19