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South Dakota rates for HCPCS 70328

Radiologic examination, temporomandibular joint, open and closed mouth; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.89 / $8.89 / $8.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.19 / $44.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.69 / $8.42 / $11.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $79.90 / $99.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.86 / $19.39 / $24.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $60.86 / $233.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.94 / $16.95 / $97.41
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.29 / $29.29 / $29.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $69.95 / $86.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $51.32 / $66.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.20 / $14.75 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $60.86 / $75.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.38 / $14.22 / $18.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.80 / $69.20 / $69.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.80 / $17.50 / $17.50