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South Dakota rates for HCPCS 77417

Therapeutic radiology port image(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.49 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $24.55 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $30.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.48 / $35.48