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South Dakota rates for HCPCS 78075

Adrenal Imaging Cortex &/Medulla

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.95 / $438.95 / $438.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.59 / $438.95 / $438.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.23 / $939.37 / $1,174.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.44 / $619.54 / $1,004.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.92 / $604.15 / $1,017.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.82 / $1,017.07 / $1,247.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.71 / $892.09 / $1,199.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.32 / $675.21 / $787.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.13 / $552.74 / $928.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.40 / $799.30 / $799.30