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South Dakota rates for HCPCS 73050

Radex A-C Joints Bi W/Wo Weighted Distrcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.24 / $9.24 / $9.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $38.54 / $52.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.99 / $10.15 / $14.07
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.99 / $12.99 / $14.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.98 / $28.39 / $34.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $66.70 / $83.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.48 / $20.17 / $25.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.06 / $46.54 / $58.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $57.91 / $216.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.42 / $17.62 / $79.26
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.14 / $40.29 / $205.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.04 / $37.04 / $37.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.91 / $72.06 / $82.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $49.36 / $58.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.34 / $15.32 / $17.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.96 / $34.04 / $40.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.75 / $53.18 / $70.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.79 / $17.14 / $22.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.96 / $39.20 / $49.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.70 / $58.40 / $58.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.40 / $18.10 / $18.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.29 / $40.29 / $40.29