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South Dakota rates for HCPCS 73521

Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.47 / $43.47 / $43.47
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.99 / $10.99 / $10.99
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.47 / $32.47 / $32.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $38.29 / $69.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.51 / $10.82 / $25.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.48 / $27.68 / $53.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $96.19 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.67 / $24.05 / $30.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.32 / $72.14 / $90.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.67 / $60.82 / $73.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $73.93 / $265.10
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.58 / $20.95 / $68.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.75 / $52.98 / $196.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $85.10 / $140.38
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.75 / $48.75 / $48.75
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$115.14 / $115.14 / $115.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $85.10 / $103.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $68.19 / $80.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.53 / $18.16 / $20.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.18 / $50.59 / $59.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $71.93 / $83.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.78 / $20.38 / $24.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.75 / $45.01 / $56.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $83.30 / $83.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.30 / $21.50 / $21.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.50 / $61.80 / $61.80