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South Dakota rates for HCPCS 70310

Radiologic Exam Teeth Prtl Exam < Full Mouth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $36.58 / $41.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $7.08 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $94.64 / $118.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.59 / $17.84 / $22.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.39 / $72.34 / $245.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.25 / $14.26 / $56.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $83.07 / $98.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $63.71 / $78.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.90 / $13.62 / $15.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $57.87 / $72.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.25 / $13.88 / $16.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $81.90 / $81.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.70 / $16.10 / $16.10