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South Dakota rates for HCPCS 73218

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $371.54 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $128.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $323.59 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $588.84 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $588.84 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $190.55
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $524.81 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $660.69
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $134.90 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $501.19 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $467.74 / $467.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $107.15 / $123.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $467.74 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $630.96 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $524.81 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $165.96 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.03 / $630.96 / $630.96