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South Dakota rates for HCPCS 76825

Echo Fetal Cardiovasc W/Wo M-Mode Recording

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.15 / $81.15 / $81.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.75 / $258.20 / $430.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.33 / $602.72 / $753.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.25 / $511.80 / $1,708.42
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$263.14 / $263.14 / $263.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $549.29 / $666.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.69 / $435.20 / $496.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.11 / $132.19 / $150.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.44 / $370.88 / $563.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.70 / $535.00 / $535.00