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South Dakota rates for HCPCS 70300

Radiologic examination, teeth; single view

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.90 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $20.42 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $28.18 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $24.55 / $31.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $26.92