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South Dakota rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $151.36 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $131.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $173.78 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $275.42 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $181.97 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $162.18 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $354.81