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South Dakota rates for HCPCS 93458

Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$294.19 / $294.19 / $294.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.84 / $1,151.59 / $1,658.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.62 / $294.19 / $781.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$779.44 / $857.38 / $1,249.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.09 / $2,094.96 / $2,581.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$551.34 / $559.32 / $689.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,513.75 / $1,535.65 / $1,892.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.18 / $2,000.30 / $6,888.39
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$343.34 / $572.24 / $1,791.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$856.84 / $1,428.06 / $5,096.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.30 / $2,314.25 / $2,797.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.78 / $1,689.15 / $1,974.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$374.09 / $486.83 / $555.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$901.70 / $1,202.32 / $1,432.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.18 / $1,931.13 / $2,252.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$343.34 / $556.07 / $600.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$856.84 / $1,417.36 / $1,653.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.40 / $2,336.90 / $2,430.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$572.50 / $673.50 / $700.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,413.90 / $1,663.40 / $1,730.00