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South Dakota rates for HCPCS 77417

Therapeutic Radiology Port Images(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $14.34 / $27.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $38.01 / $47.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $20.70 / $24.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $26.79 / $40.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $23.63 / $31.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $20.70 / $21.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.50 / $35.50