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South Dakota rates for HCPCS 71120

Radiologic examination; sternum, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.58 / $9.58 / $9.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $32.14 / $55.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.28 / $9.93 / $36.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.93 / $25.72 / $66.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.44 / $77.56 / $96.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.13 / $20.94 / $26.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.56 / $56.63 / $70.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $58.95 / $217.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.23 / $18.95 / $72.64
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.99 / $40.24 / $199.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.04 / $32.04 / $32.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $69.30 / $84.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $48.37 / $64.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.44 / $15.89 / $18.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.74 / $34.72 / $46.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $48.61 / $60.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.18 / $17.32 / $21.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.87 / $32.70 / $41.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $67.20 / $67.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.00 / $18.80 / $18.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.10 / $48.40 / $48.40