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South Dakota rates for HCPCS 71048

Radiologic examination, chest; 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.20 / $15.20 / $15.20
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$33.54 / $33.54 / $33.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $41.13 / $76.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.84 / $15.17 / $22.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.78 / $28.29 / $53.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $106.27 / $132.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.28 / $33.36 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.89 / $72.92 / $91.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $83.29 / $297.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.55 / $30.29 / $93.99
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.74 / $51.24 / $203.39
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.41 / $54.41 / $54.41
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$85.12 / $85.12 / $85.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.85 / $95.95 / $116.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.69 / $77.73 / $88.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.57 / $24.97 / $28.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.19 / $52.77 / $60.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $83.29 / $83.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.17 / $25.41 / $32.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.36 / $41.63 / $53.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.20 / $92.00 / $92.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.10 / $29.60 / $29.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.10 / $62.50 / $62.50