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South Dakota rates for HCPCS 77002

Fluoroscopic Guidance Needle Placement Add On

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.92 / $713.68 / $1,027.79
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
$67.84 / $82.68 / $192.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.28 / $33.45 / $94.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.89 / $68.95 / $206.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.86 / $267.62 / $334.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.48 / $60.50 / $75.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.22 / $207.11 / $258.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.19 / $176.89 / $638.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $195.93 / $752.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.40 / $50.10 / $169.69
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.55 / $146.38 / $583.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $225.97 / $386.05
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.57 / $87.57 / $87.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $225.64 / $299.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.61 / $181.17 / $220.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.90 / $44.82 / $51.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.52 / $127.42 / $169.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.63 / $170.33 / $201.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.26 / $50.10 / $56.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.55 / $126.17 / $150.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $227.60 / $227.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.80 / $52.70 / $52.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.69 / $174.90 / $174.90