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South Dakota rates for HCPCS 70150

Radiologic examination, facial bones; complete, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $48.98 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $19.50 / $42.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $41.69 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $28.84 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $83.18 / $104.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $117.49
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $20.89 / $95.50
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $44.67 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $100.00
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $26.30 / $30.90
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $67.61 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $27.54 / $27.54
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $66.07 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $20.89 / $23.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $47.86 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $102.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $21.88 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $47.86 / $70.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $93.33
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $25.12 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $69.18 / $69.18