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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
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $125.89 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $295.12 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $162.18 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $478.63 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $549.54 / $912.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $125.89 / $549.54
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $426.58 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $676.08
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $147.91 / $169.82
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $416.87 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $467.74 / $467.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $114.82 / $134.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $380.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $741.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $125.89 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $436.52 / $562.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $181.97 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $512.86 / $512.86