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South Dakota rates for HCPCS 73630

Radiologic examination, foot; complete, minimum of 3 views

Facilitymedian $302 · 10th–90th $68$4790%10%10th90th$302Professionalmedian $30 · 10th–90th $8$980%10%10th90th$30$2.0$10.0$50.0$200.0$1.0K

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
Typical Low / Median / Typical High
$91.20 / $302.00 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $316.23 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $33.88 / $97.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $14.45 / $40.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$30.20 / $100.00 / $109.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $50.12 / $208.93
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $194.98
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $18.20 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $63.10 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $338.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $223.87
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $16.60 / $29.51
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.11 / $169.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $69.18 / $72.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.98 / $19.50
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $50.12 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $13.49 / $15.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $36.31 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $75.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $14.13 / $20.89
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $37.15 / $58.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $69.18
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $16.22 / $16.22
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $52.48