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South Dakota rates for HCPCS 78315

Bone &/Joint Imaging 3 Phase Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.51 / $48.51 / $48.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.70 / $299.49 / $529.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.78 / $48.51 / $177.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.94 / $253.38 / $455.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.85 / $732.26 / $915.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.18 / $107.82 / $134.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$510.67 / $624.44 / $780.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $470.25 / $783.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.26 / $90.85 / $105.50
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.10 / $548.82 / $653.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.00 / $696.11 / $927.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.44 / $527.67 / $612.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.36 / $80.00 / $91.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.36 / $447.68 / $522.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.48 / $433.49 / $722.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.26 / $60.56 / $100.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.13 / $373.20 / $622.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.00 / $624.70 / $624.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.50 / $94.70 / $94.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$450.50 / $530.00 / $530.00