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South Dakota rates for HCPCS 70030

Radiologic Examination Eye Detect Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.89 / $8.89 / $8.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $31.64 / $41.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.39 / $10.25 / $34.71
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.23 / $16.23 / $16.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.00 / $21.93 / $30.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.80 / $76.79 / $95.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.86 / $19.39 / $24.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.59 / $57.40 / $71.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $55.69 / $208.77
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.08 / $15.60 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.99 / $40.24 / $153.47
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.35 / $27.35 / $27.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $65.17 / $82.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $47.75 / $64.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.30 / $14.16 / $16.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.26 / $35.21 / $47.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.13 / $55.12 / $92.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.98 / $14.28 / $18.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.00 / $38.32 / $47.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $66.50 / $66.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.80 / $17.50 / $17.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.70 / $49.00 / $49.00