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South Dakota rates for HCPCS 77076

Radiologic examination, osseous survey, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $239.88 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $154.88 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $239.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $223.87 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $234.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $234.42