go back

South Dakota rates for HCPCS 70015

Cisternography, positive contrast, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.49 / $177.49 / $177.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.54 / $149.54 / $177.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.64 / $384.75 / $480.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.33 / $249.21 / $329.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.86 / $304.18 / $1,102.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.38 / $345.08 / $555.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $345.08 / $428.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $256.02 / $317.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.30 / $304.18 / $309.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.30 / $329.80 / $329.80