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South Dakota rates for HCPCS 73225

Mra Upper Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.10 / $377.10 / $377.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.93 / $320.93 / $377.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.64 / $777.25 / $971.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.67 / $633.75 / $869.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.73 / $738.04 / $3,166.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.96 / $835.99 / $1,168.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.21 / $862.99 / $1,119.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.72 / $609.07 / $693.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $718.09 / $864.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.70 / $867.90 / $867.90