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South Dakota rates for HCPCS 72110

Radex Spine Lumbosacral Minimum 4 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.75 / $12.75 / $12.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.88 / $55.93 / $152.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.09 / $15.96 / $52.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.76 / $49.71 / $109.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.14 / $121.78 / $152.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.47 / $28.70 / $35.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.17 / $93.08 / $116.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $89.97 / $330.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.76 / $24.29 / $120.54
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.79 / $65.68 / $292.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $111.01 / $129.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.20 / $80.81 / $100.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.96 / $21.56 / $26.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.65 / $56.91 / $76.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $78.20 / $97.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $20.57 / $31.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.38 / $51.60 / $66.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $104.80 / $104.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.70 / $25.50 / $25.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $79.30 / $79.30