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South Dakota rates for HCPCS 73564

Radiologic Exam Knee Complete 4/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.35 / $11.35 / $11.35
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$37.81 / $395.57 / $769.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $55.18 / $227.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.53 / $21.20 / $56.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$588.25 / $588.25 / $588.25
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$21.32 / $21.32 / $24.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.57 / $70.98 / $240.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.67 / $110.93 / $138.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.30 / $24.82 / $31.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.92 / $86.10 / $107.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.71 / $79.52 / $297.63
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.52 / $20.94 / $87.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.19 / $58.69 / $229.42
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.79 / $38.79 / $38.79
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$105.86 / $105.86 / $105.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $92.12 / $116.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.48 / $91.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.78 / $18.72 / $21.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.45 / $52.57 / $70.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $64.98 / $81.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $17.57 / $23.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.11 / $47.41 / $60.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $95.40 / $95.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.80 / $22.20 / $22.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.20 / $73.20 / $73.20