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South Dakota rates for HCPCS 73719

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.44 / $78.44 / $78.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.59 / $288.87 / $661.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.94 / $625.99 / $782.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.57 / $568.21 / $3,348.15
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$255.57 / $255.57 / $255.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.59 / $689.94 / $1,045.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.98 / $503.97 / $668.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.11 / $129.37 / $147.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.35 / $568.21 / $815.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.79 / $699.80 / $699.80