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South Dakota rates for HCPCS 73090

Radex Forearm 2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.83 / $241.80 / $746.88
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.83 / $7.83 / $7.83
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.88 / $22.88 / $245.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $29.37 / $69.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.28 / $9.86 / $29.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.64 / $29.82 / $147.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.83 / $68.26 / $85.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.96 / $17.07 / $21.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.55 / $51.20 / $64.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $44.41 / $96.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $51.80 / $187.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.08 / $15.60 / $64.39
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.83 / $36.46 / $161.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $61.95 / $99.61
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.85 / $25.85 / $25.85
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$65.75 / $65.75 / $65.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $61.95 / $73.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.44 / $42.47 / $56.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.06 / $13.05 / $14.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.03 / $31.35 / $42.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.97 / $47.46 / $55.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.19 / $15.17 / $16.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.64 / $29.55 / $37.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $59.10 / $59.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.10 / $15.40 / $15.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.10 / $43.70 / $43.70