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South Dakota rates for HCPCS 73522

Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views

Facilitymedian $42 · 10th–90th $14$620%20%10th90th$42Professionalmedian $40 · 10th–90th $14$1120%10%10th90th$40$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $41.69 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $14.13 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $48.98 / $117.49
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $32.36 / $40.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $97.72 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $138.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.91 / $41.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $51.29 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $109.65 / $114.82
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $30.20 / $34.67
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $77.62 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $104.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $23.99 / $26.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $66.07 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $25.12 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $57.54 / $91.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $109.65 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $28.18 / $28.18
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $81.28 / $81.28