go back

South Dakota rates for HCPCS 20501

Injection of sinus tract; diagnostic (sinogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $151.81 / $151.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.81 / $152.63 / $262.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.27 / $251.47 / $460.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.81 / $179.63 / $267.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00