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South Dakota rates for HCPCS 78458

Venous Thrombosis Imaging Venogram Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.53 / $205.53 / $205.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.40 / $205.53 / $205.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.03 / $447.58 / $559.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.36 / $293.05 / $475.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.10 / $277.30 / $465.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.58 / $454.37 / $467.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.11 / $418.07 / $550.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.80 / $323.99 / $370.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.88 / $310.45 / $425.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.00 / $383.50 / $383.50