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South Dakota rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.18 / $8.18 / $8.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $29.92 / $56.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $7.78 / $12.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.05 / $22.83 / $43.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.06 / $78.34 / $97.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.23 / $18.62 / $23.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.39 / $59.73 / $74.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.94 / $57.64 / $210.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.52 / $16.26 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.42 / $40.99 / $159.97
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.69 / $27.69 / $27.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $68.30 / $82.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $48.71 / $65.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.51 / $14.19 / $16.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.69 / $36.65 / $49.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $56.56 / $60.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.59 / $14.02 / $18.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.32 / $33.76 / $42.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $67.80 / $67.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.30 / $16.80 / $16.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.40 / $51.00 / $51.00