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South Dakota rates for HCPCS 78103

Bone Marrow Imaging Multiple Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.95 / $183.95 / $183.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.46 / $183.95 / $183.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $397.16 / $496.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.23 / $261.04 / $423.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.20 / $298.26 / $492.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.10 / $412.75 / $492.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $433.96 / $572.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.55 / $310.99 / $375.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.91 / $266.58 / $458.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.89 / $339.90 / $339.90