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South Dakota rates for HCPCS 76390

Mri Spectroscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.22 / $378.22 / $378.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.22 / $378.22 / $475.00
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
$740.32 / $905.24 / $1,131.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.00 / $639.19 / $939.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.17 / $796.91 / $2,814.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.19 / $850.04 / $1,203.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.45 / $897.89 / $1,121.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.14 / $714.43 / $736.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.00 / $718.34 / $942.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.50 / $1,015.90 / $1,015.90