go back

South Dakota rates for HCPCS 77056

Mammography Bilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.17 / $252.10 / $315.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.73 / $178.68 / $245.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.57 / $511.57 / $511.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $182.00 / $182.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $170.00 / $229.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.02 / $187.98 / $191.13