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South Dakota rates for HCPCS 77066

Diagnostic Mammography Computer-Aided Detcj Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.16 / $48.16 / $48.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $182.14 / $567.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.95 / $49.30 / $130.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.96 / $174.38 / $480.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.50 / $372.34 / $465.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.54 / $107.05 / $133.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.96 / $265.29 / $331.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.64 / $315.27 / $1,024.30
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.86 / $92.71 / $300.10
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.13 / $222.57 / $724.19
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.76 / $163.76 / $163.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.35 / $376.92 / $433.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.31 / $269.52 / $307.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.54 / $79.44 / $90.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.37 / $190.08 / $216.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.14 / $315.27 / $357.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.92 / $77.97 / $96.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.22 / $222.57 / $318.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.70 / $344.40 / $344.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.30 / $101.50 / $101.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.40 / $242.90 / $242.90