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South Dakota rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $194.98
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $38.02 / $43.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $173.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $29.51 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $186.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $181.97