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South Dakota rates for HCPCS 76390

Magnetic resonance spectroscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $724.44 / $977.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,023.29