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South Dakota rates for HCPCS 70190

Radex Optic Foramina

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.51 / $9.51 / $11.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.35 / $24.35 / $28.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.67 / $24.05 / $30.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.38 / $62.83 / $78.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.52 / $20.94 / $77.59
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.02 / $48.96 / $300.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.40 / $18.16 / $20.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.32 / $39.04 / $51.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.78 / $20.94 / $23.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.51 / $48.36 / $50.32
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.30 / $21.50 / $21.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.70 / $53.70 / $53.70