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South Dakota rates for HCPCS 70390

Sialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.29 / $125.29 / $125.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $104.55 / $125.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.23 / $266.83 / $333.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.80 / $176.69 / $211.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.91 / $197.59 / $780.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.71 / $228.04 / $383.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $228.04 / $295.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.70 / $163.50 / $219.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.60 / $141.13 / $209.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $227.70 / $227.70