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South Dakota rates for HCPCS 76979

Ultrasound Trgt Dynamic Microbubble Ea Addl Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.77 / $176.77 / $176.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.71 / $128.71 / $176.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.55 / $289.33 / $361.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.89 / $246.13 / $337.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.92 / $414.99 / $1,279.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.43 / $391.45 / $490.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.30 / $458.25 / $490.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $217.87 / $318.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.96 / $330.50 / $445.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.40 / $258.10 / $258.10