go back

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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $870.96
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $95.50 / $112.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $707.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $75.86 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $912.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $707.95