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South Dakota rates for HCPCS 78195

Lymphatics & Lymph Nodes Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.44 / $56.44 / $56.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.89 / $320.67 / $539.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.16 / $748.55 / $935.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.36 / $483.82 / $806.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.00 / $713.99 / $948.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.34 / $539.60 / $625.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.31 / $93.05 / $106.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.86 / $445.88 / $743.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.00 / $638.79 / $638.79