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South Dakota rates for HCPCS 78428

Cardiac Shunt Detection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.57 / $36.57 / $36.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.51 / $184.63 / $215.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.61 / $401.81 / $502.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.21 / $245.54 / $416.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.00 / $366.60 / $499.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $290.51 / $333.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.91 / $60.71 / $69.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.41 / $227.89 / $377.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.30 / $343.90 / $343.90