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South Dakota rates for HCPCS 76831

Saline Infus Sonohysterography W/Color Doppler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.32 / $35.32 / $35.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.16 / $126.37 / $191.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $268.39 / $335.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.26 / $222.65 / $756.60
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.36 / $115.36 / $115.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $247.70 / $299.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.72 / $194.05 / $221.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.13 / $57.87 / $65.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.79 / $159.21 / $242.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.80 / $238.50 / $238.50