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South Dakota rates for HCPCS 73501

Radiologic examination, hip, unilateral, with pelvis when performed; 1 view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$25.12 / $36.31 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $33.88 / $75.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $8.91 / $26.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $25.70 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $20.42 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$190.55 / $190.55 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $44.67 / $74.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $14.13 / $26.30
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $30.20 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $70.79
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $19.05 / $21.88
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $46.77 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $19.50
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $45.71 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $64.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $15.49 / $17.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $39.81 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $74.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $15.14 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $32.36 / $52.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $18.20 / $18.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $48.98 / $48.98