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South Dakota rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.40 / $46.40 / $46.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.37 / $324.37 / $384.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.59 / $834.65 / $1,043.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.13 / $747.14 / $2,395.01
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.50 / $133.50 / $133.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.43 / $876.19 / $909.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.49 / $600.30 / $691.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.37 / $76.59 / $87.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.21 / $624.98 / $833.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.10 / $710.70 / $710.70