go back

South Dakota rates for HCPCS 77052

Comp Screen Mammogram Add-O

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $17.84 / $22.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $18.20 / $26.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.15 / $69.15 / $69.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $20.10 / $23.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $14.51 / $15.22