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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
$18.47 / $18.47 / $18.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.17 / $84.56 / $153.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.82 / $212.54 / $265.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $157.65 / $635.08
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.28 / $60.28 / $60.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $182.72 / $240.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.88 / $130.69 / $175.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.26 / $30.64 / $34.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $150.13 / $168.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.69 / $182.00 / $182.00