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South Dakota rates for HCPCS 78226

Hepatobiliary Syst Imaging Including Gallbladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.18 / $35.18 / $35.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.62 / $320.17 / $496.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.26 / $44.53 / $154.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.99 / $287.36 / $451.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.79 / $685.72 / $857.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.06 / $78.34 / $97.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$496.72 / $607.37 / $759.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.74 / $449.93 / $745.63
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.98 / $67.51 / $87.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.99 / $540.38 / $649.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.57 / $745.63 / $877.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.99 / $534.70 / $574.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.62 / $59.42 / $66.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$360.78 / $471.40 / $509.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.51 / $493.31 / $725.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.98 / $47.67 / $72.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$314.36 / $402.26 / $728.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.70 / $584.40 / $584.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.80 / $69.20 / $69.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$437.90 / $515.20 / $515.20