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South Dakota rates for HCPCS 77077

Joint survey, single view, 2 or more joints (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $21.88 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $33.11 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $38.02 / $47.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $72.44 / $91.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $56.23 / $93.33
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $26.92 / $44.67
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $34.67 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $91.20 / $100.00
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $34.67 / $37.15
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $58.88 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $35.48
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $58.88 / $58.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $89.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.92 / $31.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.02 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $93.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $26.92 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $41.69 / $57.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $35.48 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $64.57 / $64.57