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South Dakota rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Facilitymedian $398 · 10th–90th $37$6310%10%10th90th$398Professionalmedian $44 · 10th–90th $11$1320%5%10%10th90th$44$5.0$20.0$100.0$500.0

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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $398.11 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $54.95 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $21.38 / $56.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $70.79 / $239.88
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $25.12 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $87.10 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $295.12
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $20.42 / $28.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $45.71 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $91.20 / $100.00
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $23.44 / $26.30
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $69.18 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $18.62 / $21.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $48.98 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $74.13 / $107.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $19.95 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $51.29 / $83.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $95.50 / $95.50
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $22.39 / $22.39
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $72.44 / $72.44