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South Dakota rates for HCPCS 77290

Ther Rad Simulaj-Aided Field Setting Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.41 / $84.41 / $84.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.94 / $540.34 / $774.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.87 / $81.51 / $284.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.04 / $468.45 / $679.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.23 / $1,043.32 / $1,304.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.06 / $190.82 / $238.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$697.18 / $852.49 / $1,065.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.92 / $911.38 / $1,135.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.12 / $155.03 / $227.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$486.92 / $760.54 / $1,259.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $1,049.60 / $1,308.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.67 / $812.50 / $858.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.54 / $132.72 / $160.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.01 / $660.08 / $710.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.46 / $607.58 / $1,047.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.12 / $100.56 / $162.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$438.60 / $531.17 / $885.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.70 / $958.50 / $958.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.80 / $179.80 / $179.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$661.90 / $778.60 / $778.60