go back

South Dakota rates for HCPCS 76080

Radex Abscess/Fistula/Sinus Tract Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.99 / $24.99 / $24.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $61.78 / $99.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.55 / $138.85 / $173.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.14 / $109.82 / $388.28
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.42 / $84.42 / $84.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.79 / $127.96 / $150.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.19 / $91.43 / $116.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.11 / $41.99 / $47.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $89.04 / $110.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $120.90 / $120.90