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South Dakota rates for HCPCS 55706

Bx Prostate Strtctc Saturation Sampling Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.03 / $341.03 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.03 / $414.40 / $593.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.79 / $852.34 / $1,065.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.25 / $534.48 / $1,048.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.90 / $742.08 / $2,807.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.00 / $981.01 / $3,079.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.03 / $826.79 / $999.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.20 / $624.69 / $734.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $6,897.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.77 / $670.82 / $1,043.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.20 / $842.60 / $876.30