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South Dakota rates for HCPCS 70336

Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.06 / $71.06 / $71.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.70 / $247.70 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.88 / $61.88 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.82 / $185.82 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.31 / $625.21 / $781.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.78 / $157.47 / $196.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$382.53 / $467.75 / $584.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.18 / $575.30 / $2,872.81
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.36 / $136.83 / $548.98
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.42 / $438.48 / $2,498.98
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$230.42 / $230.42 / $230.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.16 / $669.83 / $897.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.68 / $489.84 / $563.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.38 / $117.45 / $133.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.56 / $362.61 / $455.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.55 / $575.30 / $679.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.69 / $136.83 / $179.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.86 / $438.48 / $538.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.29 / $698.00 / $698.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.10 / $181.30 / $181.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$439.20 / $516.70 / $516.70