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South Dakota rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Facilitymedian $52 · 10th–90th $52$520%50%$52Professionalmedian $178 · 10th–90th $54$4570%5%10%10th90th$178$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $53.70 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $169.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $120.23 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $363.08 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $676.08
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $89.13 / $154.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $275.42 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $436.52 / $524.81
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $109.65 / $128.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $323.59 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $338.84 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $87.10 / $100.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $275.42 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $100.00 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $316.23 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $537.03
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $134.90 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $398.11 / $398.11