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South Dakota rates for HCPCS 75984

Change Prq Tube/Drainage Cath W Contrast Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.96 / $37.96 / $37.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.32 / $100.67 / $115.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $220.30 / $275.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.78 / $178.78 / $767.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.29 / $113.29 / $113.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $206.91 / $240.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.98 / $160.57 / $183.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.82 / $58.02 / $72.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.02 / $150.36 / $212.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $190.10 / $190.10