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South Dakota rates for HCPCS 73115

Radiologic examination, wrist, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $281.84
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $57.54 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $44.67 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $269.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $263.03