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South Dakota rates for HCPCS 75966

Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.13 / $373.11 / $466.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.69 / $844.94 / $1,783.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,807.00 / $5,807.00 / $5,807.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.00 / $547.00 / $547.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.84 / $545.20 / $1,191.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.61 / $279.66 / $757.34