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South Dakota rates for HCPCS 76700

Ultrasound, abdominal, real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.79 / $681.18 / $1,270.80
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.04 / $39.04 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $136.33 / $203.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.77 / $57.32 / $136.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.15 / $142.21 / $274.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $269.94 / $337.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.84 / $86.88 / $108.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.77 / $183.07 / $228.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.99 / $190.95 / $286.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $229.14 / $760.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.44 / $75.33 / $303.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.75 / $153.81 / $518.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.93 / $270.82 / $391.72
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.83 / $127.83 / $127.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $271.77 / $301.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.13 / $196.32 / $223.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.74 / $64.68 / $73.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.73 / $131.63 / $150.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $162.77 / $247.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.59 / $52.81 / $80.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.75 / $110.12 / $166.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.10 / $241.30 / $241.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $79.50 / $79.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.50 / $161.80 / $161.80