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South Dakota rates for HCPCS 72083

Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.67 / $17.67 / $17.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.68 / $71.72 / $135.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.26 / $17.67 / $60.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.39 / $54.32 / $109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.60 / $188.50 / $235.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.72 / $38.79 / $48.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.00 / $149.71 / $187.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $142.33 / $507.76
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.01 / $33.86 / $109.02
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.47 / $100.78 / $398.67
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.25 / $70.25 / $70.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.44 / $169.98 / $199.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.41 / $131.97 / $155.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.73 / $28.70 / $32.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.03 / $103.93 / $122.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $135.80 / $146.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.38 / $28.40 / $35.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.26 / $88.35 / $112.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $161.19 / $161.19
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.10 / $34.29 / $34.29
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.90 / $127.00 / $127.00