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South Dakota rates for HCPCS 73525

Radex Hip Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.19 / $28.19 / $28.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.09 / $116.11 / $143.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.51 / $28.19 / $148.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.26 / $91.60 / $110.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.79 / $293.20 / $366.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.38 / $62.83 / $78.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.14 / $230.38 / $287.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.29 / $214.01 / $873.78
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.27 / $53.96 / $198.13
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.02 / $154.03 / $695.99
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.41 / $91.41 / $91.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.40 / $249.64 / $332.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.60 / $180.38 / $241.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.17 / $47.09 / $53.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.28 / $140.35 / $188.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $182.78 / $254.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.54 / $48.55 / $61.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.26 / $137.68 / $175.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.50 / $251.20 / $251.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.40 / $55.80 / $55.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.10 / $195.50 / $195.50