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South Dakota rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $34.67 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $8.91 / $26.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $25.70 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $61.66 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $79.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $13.80 / $24.55
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $30.90 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $72.44
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $17.78 / $20.42
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $48.98 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $47.86 / $47.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $46.77 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $13.80 / $16.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $33.88 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $47.86 / $70.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.79 / $19.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $33.88 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $16.98 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $51.29 / $51.29