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South Dakota rates for HCPCS 77057

Mammogram Screening

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.54 / $179.19 / $223.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.05 / $129.21 / $175.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.01 / $361.01 / $361.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $157.00 / $157.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $153.00 / $164.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $134.03 / $136.27