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South Dakota rates for HCPCS 92240

Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.16 / $50.16 / $50.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.68 / $213.24 / $427.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.11 / $500.39 / $625.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.08 / $357.03 / $1,494.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $390.24 / $510.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.54 / $389.33 / $458.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.84 / $78.87 / $104.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $254.98 / $420.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.30 / $513.29 / $533.79