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South Dakota rates for HCPCS 76828

Doppler Echo Fetal Puls Spectral F/U/Repeat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.13 / $27.13 / $27.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $47.52 / $78.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $112.48 / $140.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $96.88 / $400.20
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.95 / $87.95 / $87.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $114.57 / $132.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $81.70 / $93.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.08 / $44.26 / $50.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $70.80 / $108.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.40 / $100.40 / $100.40