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South Dakota rates for HCPCS 77280

Ther Rad Simulaj-Aided Field Setting Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.76 / $38.76 / $38.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.65 / $244.01 / $459.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.20 / $45.14 / $133.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.46 / $210.64 / $399.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.54 / $635.29 / $794.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.05 / $86.88 / $108.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$448.50 / $548.41 / $685.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.07 / $508.30 / $616.04
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.94 / $70.17 / $102.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.85 / $440.03 / $687.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $616.04 / $755.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.47 / $442.12 / $520.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.33 / $59.58 / $73.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.18 / $381.77 / $447.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.75 / $338.87 / $555.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.57 / $70.17 / $94.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.98 / $293.35 / $483.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.50 / $582.90 / $582.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.59 / $81.90 / $81.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$425.80 / $501.00 / $501.00