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South Dakota rates for HCPCS 76377

3d Rendering W/Interp&Postproc Diff Work Station

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.34 / $38.34 / $38.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $92.40 / $130.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.35 / $37.09 / $171.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.97 / $56.22 / $81.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $184.62 / $230.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.78 / $85.33 / $106.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.61 / $99.29 / $124.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.43 / $133.00 / $1,002.61
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.57 / $73.34 / $238.39
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.63 / $59.66 / $780.59
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.06 / $125.06 / $125.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.26 / $160.13 / $192.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $126.43 / $153.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.06 / $63.55 / $72.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $65.34 / $81.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.27 / $129.40 / $149.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.74 / $71.34 / $84.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.70 / $59.66 / $67.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.90 / $159.90 / $159.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.90 / $75.20 / $75.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.90 / $84.60 / $84.60