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South Dakota rates for HCPCS 78015

Thyroid Carcinoma Metastases Img Lmtd Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.74 / $227.74 / $227.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.34 / $227.74 / $227.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $493.35 / $616.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.70 / $323.36 / $524.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.41 / $301.31 / $507.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.33 / $503.91 / $587.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.65 / $461.76 / $607.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.38 / $355.76 / $410.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.05 / $277.68 / $462.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $421.20 / $421.20