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South Dakota rates for HCPCS 74470

Radex Renal Cyst Study Translumbar Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.42 / $534.42 / $534.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.19 / $491.19 / $534.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.63 / $186.17 / $232.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.79 / $703.53 / $903.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.15 / $541.35 / $939.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.31 / $84.91 / $1,161.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $151.85 / $1,161.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.81 / $88.81 / $88.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.04 / $670.27 / $939.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.70 / $1,152.59 / $1,152.59