go back

South Dakota rates for HCPCS 70330

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.69 / $11.69 / $11.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.79 / $53.72 / $89.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $11.69 / $17.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.56 / $38.13 / $72.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.50 / $124.11 / $155.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.93 / $25.60 / $32.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.19 / $98.51 / $123.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.48 / $95.96 / $345.31
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.88 / $22.94 / $142.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.80 / $71.34 / $272.83
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.31 / $40.31 / $40.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $109.47 / $132.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $77.87 / $102.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.08 / $19.29 / $21.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.36 / $60.29 / $80.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $95.96 / $149.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.59 / $22.94 / $25.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.52 / $57.38 / $73.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $106.80 / $106.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.39 / $22.80 / $22.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.40 / $84.00 / $84.00