go back

South Dakota rates for HCPCS 76981

Ultrasound Elastography Parenchyma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.87 / $28.87 / $28.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $106.50 / $178.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.88 / $28.87 / $113.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $80.84 / $212.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $248.22 / $310.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.63 / $65.16 / $81.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.77 / $183.07 / $228.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.71 / $201.28 / $674.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.60 / $54.82 / $180.38
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.22 / $146.46 / $494.15
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.01 / $89.01 / $89.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.59 / $239.60 / $285.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.47 / $179.87 / $205.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.63 / $46.74 / $54.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.93 / $127.58 / $150.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.82 / $195.84 / $216.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.60 / $44.46 / $63.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.22 / $101.96 / $156.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $221.10 / $221.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.40 / $59.30 / $59.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.50 / $161.80 / $161.80