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South Dakota rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.18 / $42.18 / $42.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $40.35 / $47.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $93.08 / $116.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.15 / $60.99 / $72.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $78.84 / $258.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.54 / $92.85 / $135.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $95.70 / $106.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.51 / $68.09 / $77.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $63.63 / $84.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $87.00 / $87.00