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South Dakota rates for HCPCS 74430

Cystography Minimum 3 Views Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.31 / $15.31 / $15.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $61.46 / $87.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.26 / $15.31 / $24.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.74 / $47.07 / $68.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $96.19 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.91 / $34.13 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.57 / $62.06 / $77.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $74.61 / $390.88
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.22 / $29.62 / $103.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.02 / $43.77 / $301.75
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.41 / $49.41 / $49.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $87.71 / $108.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $68.19 / $80.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.30 / $25.53 / $29.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.77 / $43.44 / $51.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $64.18 / $76.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.98 / $26.25 / $32.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.18 / $35.31 / $44.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $83.30 / $83.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $30.20 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.10 / $53.10 / $53.10