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South Dakota rates for HCPCS 70355

Orthopantogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.94 / $9.94 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $21.21 / $81.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.60 / $9.73 / $49.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.69 / $11.48 / $15.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.53 / $43.44 / $54.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.39 / $22.50 / $28.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.13 / $20.94 / $26.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $35.21 / $206.87
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.72 / $19.61 / $105.66
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.11 / $15.60 / $129.58
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.50 / $34.50 / $34.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $43.77 / $58.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $32.60 / $36.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.79 / $17.02 / $19.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.73 / $14.85 / $17.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $32.83 / $41.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.33 / $16.43 / $22.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.11 / $15.17 / $19.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $38.29 / $38.29
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.10 / $20.20 / $20.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.40 / $18.10 / $18.10