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South Dakota rates for HCPCS 75896

Rad-Diag Rad Diag Imaging

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.90 / $1,988.12 / $2,485.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.42 / $1,340.42 / $2,310.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,524.00 / $7,524.00 / $7,524.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $1,591.00 / $1,591.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.00 / $1,543.00 / $1,587.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.61 / $981.61 / $981.61