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South Dakota rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $91.20 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $131.83 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $269.15 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $288.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $371.54