go back

South Dakota rates for HCPCS 77021

Mri Guidance Needle Placement Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.65 / $71.65 / $71.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.25 / $522.50 / $709.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.87 / $140.00 / $189.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.39 / $983.59 / $1,229.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.94 / $161.35 / $201.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.04 / $847.08 / $2,775.50
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.01 / $132.01 / $439.61
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.90 / $239.90 / $239.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.68 / $897.00 / $1,307.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.60 / $685.73 / $806.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.71 / $121.12 / $135.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.70 / $871.26 / $871.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.48 / $132.01 / $148.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.30 / $1,092.09 / $1,092.09
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.30 / $183.90 / $183.90