go back

South Dakota rates for HCPCS 72020

Radex Spine 1 View Specify Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.83 / $7.83 / $7.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $23.94 / $40.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.78 / $11.89 / $21.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.96 / $17.89 / $47.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $55.85 / $69.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.96 / $17.07 / $21.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.72 / $38.79 / $48.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $43.64 / $542.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.22 / $14.93 / $62.74
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.96 / $28.81 / $498.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.54 / $25.54 / $25.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $50.95 / $61.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $35.97 / $47.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.44 / $12.76 / $14.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.28 / $24.12 / $32.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $35.81 / $44.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.19 / $14.53 / $16.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.21 / $28.81 / $30.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.70 / $49.00 / $49.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.10 / $15.40 / $15.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.50 / $33.60 / $33.60