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South Dakota rates for HCPCS 75559

Cardiac Mri W/O Contrast W/Stress Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.50 / $409.50 / $409.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.32 / $351.32 / $409.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.28 / $881.97 / $1,102.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $674.85 / $962.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.74 / $830.59 / $4,246.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.01 / $910.00 / $1,273.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.76 / $921.89 / $1,158.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.29 / $691.43 / $742.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.97 / $830.59 / $925.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.50 / $985.30 / $985.30