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South Dakota rates for HCPCS 70110

Radiologic examination, mandible; complete, minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.04 / $12.04 / $12.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $42.55 / $57.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.41 / $12.04 / $16.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.39 / $29.89 / $41.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $101.62 / $127.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.20 / $27.15 / $33.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.66 / $74.47 / $93.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $76.48 / $282.36
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.24 / $23.61 / $90.81
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $53.07 / $211.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.26 / $40.26 / $40.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $89.22 / $111.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $63.18 / $84.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.44 / $20.43 / $23.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.58 / $45.82 / $61.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.28 / $63.04 / $91.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.98 / $22.97 / $26.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.90 / $43.20 / $55.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $88.00 / $88.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.60 / $24.20 / $24.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.20 / $63.80 / $63.80