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South Dakota rates for HCPCS 70350

Cephalogram, orthodontic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $16.82 / $24.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.39 / $8.28 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $40.34 / $50.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.76 / $20.94 / $26.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $31.88 / $206.87
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.68 / $14.93 / $125.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $41.21 / $43.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.07 / $34.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.97 / $15.09 / $17.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $31.01 / $38.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.68 / $14.52 / $18.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $35.60 / $35.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.40 / $18.10 / $18.10