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South Dakota rates for HCPCS 76510

Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $251.19 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $251.19 / $251.19
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $134.90 / $134.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $281.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $74.13 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $169.82 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $141.25