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South Dakota rates for HCPCS 42550

Injection Procedure Sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $153.81 / $153.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $133.97 / $153.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.32 / $214.36 / $439.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.71 / $191.58 / $355.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.32 / $296.12 / $2,965.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.32 / $277.61 / $497.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.76 / $269.44 / $360.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.25 / $197.80 / $291.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.03 / $273.00 / $436.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.40 / $143.69 / $354.10