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South Dakota rates for HCPCS 77059

Magnetic Resonance Imaging Breast

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.13 / $1,189.92 / $1,487.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,357.89 / $4,357.89 / $4,357.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.55 / $961.55 / $1,549.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.55 / $1,081.61 / $1,769.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.45 / $871.46 / $1,066.44