go back

South Dakota rates for HCPCS 38900

Intraop Sentinel Lymph Node Id W/Dye Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.21 / $4,307.01 / $6,970.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $135.38 / $263.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.57 / $293.51 / $363.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.06 / $221.74 / $3,394.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.07 / $261.77 / $987.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.30 / $327.52 / $425.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.59 / $299.12 / $365.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.99 / $231.50 / $265.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$51.48 / $51.48 / $51.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$51.48 / $51.48 / $51.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.41 / $274.87 / $368.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.10 / $304.80 / $317.00