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South Dakota rates for HCPCS 72050

Radiologic examination, spine, cervical; 4 or 5 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
$50.12 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $22.39 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $61.66 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.20 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $100.00 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $67.61 / $128.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $25.12 / $53.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $46.77 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $112.20 / $114.82
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $27.54 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $79.43 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $28.18
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $75.86 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $104.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $22.91 / $26.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $56.23 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $25.12 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $53.70 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $26.30 / $26.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $83.18 / $83.18