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South Dakota rates for HCPCS 76145

Medical Physics Dose Eval Radiation Expos W/Rprt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.64 / $958.64 / $958.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.02 / $808.02 / $958.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.42 / $2,320.12 / $2,900.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.11 / $1,365.55 / $2,213.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.32 / $1,591.20 / $1,847.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.72 / $1,722.99 / $2,875.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.17 / $1,847.52 / $2,451.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.82 / $1,676.10 / $1,910.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.97 / $1,147.89 / $1,759.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.60 / $1,984.20 / $1,984.20