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South Dakota rates for HCPCS 72240

Myelography, cervical, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.65 / $44.65 / $44.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $100.47 / $120.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.52 / $259.86 / $324.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.16 / $201.51 / $1,286.55
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.50 / $144.50 / $144.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.04 / $236.96 / $376.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.72 / $183.12 / $218.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.56 / $73.19 / $83.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $196.94 / $311.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.10 / $223.70 / $223.70