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South Dakota rates for HCPCS 77332

Treatment devices, design and construction; simple (simple block, simple bolus)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $39.81 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.91 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $57.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $40.74 / $50.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $85.11 / $141.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $33.11 / $50.12
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $53.70 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $56.23 / $56.23
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $63.10 / $63.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $134.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $40.74 / $46.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $33.11 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $87.10 / $134.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $37.15 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $43.65 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $52.48 / $52.48
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $37.15 / $37.15