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South Dakota rates for HCPCS 77067

Screening Mammography Bi 2-View Breast Inc Cad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.94 / $36.94 / $36.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $133.90 / $469.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.56 / $46.47 / $102.46
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$41.39 / $49.95 / $126.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.50 / $99.73 / $343.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.77 / $301.75 / $377.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.23 / $82.22 / $102.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.53 / $219.52 / $274.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.51 / $255.19 / $491.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.21 / $70.67 / $99.36
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.85 / $184.52 / $598.35
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.58 / $124.58 / $124.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.74 / $303.41 / $349.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.21 / $218.45 / $249.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.92 / $61.28 / $69.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.47 / $157.16 / $179.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $248.29 / $287.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.74 / $68.76 / $77.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.64 / $150.41 / $210.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.30 / $279.10 / $279.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.59 / $78.30 / $78.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.70 / $200.80 / $200.80