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South Dakota rates for HCPCS 0349T

Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $33.93 / $33.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $32.88 / $33.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.89 / $239.89 / $239.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $55.57 / $304.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.47 / $355.83 / $1,157.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $113.23 / $293.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.29 / $239.89 / $263.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.95 / $325.27 / $382.68