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South Dakota rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Facilitymedian $186 · 10th–90th $30$4070%10%10th90th$186Professionalmedian $28 · 10th–90th $8$680%5%10%10th90th$28$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $407.38
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $25.12 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $13.18 / $30.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $69.18
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $194.98
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $77.62 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $15.85 / $24.55
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $67.61 / $69.18
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $17.78 / $20.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $46.77 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $63.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.80 / $16.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $33.11 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $48.98 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $14.13 / $21.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $35.48 / $53.70
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $66.07
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.98 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $48.98 / $48.98