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South Dakota rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Facilitymedian $37 · 10th–90th $37–$370%50%$37Professionalmedian $100 · 10th–90th $69–$2240%10%10th90th$100$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $123.03
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $223.87 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $204.17 / $229.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $79.43 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $181.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $57.54 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $263.03
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $190.55