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South Dakota rates for HCPCS 77321

Spec Telethx Port Pln Parts Hemibdy Tot Bdy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.40 / $51.40 / $51.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.79 / $105.29 / $175.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.42 / $44.39 / $79.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.40 / $61.86 / $114.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.43 / $221.85 / $277.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.52 / $115.58 / $144.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.91 / $106.27 / $132.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.51 / $171.63 / $212.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.32 / $92.14 / $138.69
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.99 / $81.70 / $125.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.45 / $212.68 / $323.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.70 / $157.27 / $185.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.78 / $80.81 / $97.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.91 / $74.23 / $87.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.39 / $143.47 / $187.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.32 / $61.43 / $98.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.99 / $64.19 / $92.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.20 / $207.40 / $207.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.10 / $109.50 / $109.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.20 / $97.90 / $97.90