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South Dakota rates for HCPCS 73522

Radex Hips Bilateral With Pelvis 3-4 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.50 / $14.50 / $14.50
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$42.08 / $42.08 / $42.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.17 / $48.70 / $91.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.39 / $14.50 / $50.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.14 / $40.04 / $117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $126.44 / $158.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.01 / $31.80 / $39.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.72 / $94.64 / $118.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $96.63 / $345.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.92 / $27.62 / $89.67
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.65 / $67.76 / $255.46
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.53 / $63.53 / $63.53
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$138.76 / $138.76 / $138.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.42 / $110.90 / $135.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.98 / $89.08 / $104.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.50 / $23.83 / $27.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.33 / $65.98 / $77.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.68 / $96.63 / $119.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.78 / $23.20 / $30.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.75 / $54.22 / $69.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.50 / $108.80 / $108.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.00 / $28.20 / $28.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.50 / $80.59 / $80.59