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South Dakota rates for HCPCS G0288

Reconstruction Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $46.35 / $46.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $51.75 / $64.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $62.31 / $1,888.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.82 / $66.93 / $285.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $67.52 / $90.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $62.31 / $70.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $79.50 / $79.50