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South Dakota rates for HCPCS 71101

Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $43.65 / $117.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $20.42 / $44.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $44.67 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $29.51 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $70.79 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $54.95 / $102.33
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $24.55 / $45.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $36.31 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $89.13
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $26.92 / $31.62
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $57.54 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $27.54 / $27.54
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $56.23 / $56.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $81.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $21.38 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $40.74 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $22.39 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $39.81 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $85.11
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $25.70 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $58.88 / $58.88