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South Dakota rates for HCPCS 76645

Ultrasounds (non-maternity)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.63 / $217.20 / $271.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.34 / $139.57 / $204.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.69 / $405.69 / $405.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.24 / $123.00 / $196.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $104.36 / $125.23