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South Dakota rates for HCPCS 76816

Us Preg Uterus Real Time F/U Trnsabdl Per Fetus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.63 / $41.63 / $41.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.15 / $115.73 / $627.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.81 / $64.63 / $146.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.31 / $184.50 / $495.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.97 / $255.21 / $319.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.90 / $93.08 / $116.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.07 / $162.12 / $202.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $211.29 / $708.49
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.07 / $78.84 / $257.68
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.69 / $132.44 / $450.80
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.77 / $136.77 / $136.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $233.98 / $280.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.83 / $184.41 / $210.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.42 / $68.09 / $77.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.52 / $116.32 / $132.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.76 / $153.75 / $234.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.94 / $66.34 / $111.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.81 / $104.10 / $194.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.70 / $226.70 / $226.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.09 / $83.70 / $83.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.50 / $143.00 / $143.00