go back

South Dakota rates for HCPCS 29010

Application of Risser jacket, localizer, body; only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $281.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $363.08 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $331.13 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $676.08