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South Dakota rates for HCPCS 78452

Myocardial Spect Multiple Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.14 / $77.14 / $77.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.51 / $485.62 / $717.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.13 / $76.28 / $213.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.92 / $414.12 / $601.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.90 / $995.22 / $1,244.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.19 / $171.43 / $214.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$673.71 / $823.79 / $1,029.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $689.16 / $1,069.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.91 / $147.02 / $191.55
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$482.42 / $723.63 / $866.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.51 / $1,069.24 / $1,269.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.24 / $764.34 / $831.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.11 / $126.53 / $144.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$492.13 / $639.79 / $689.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.88 / $640.38 / $983.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.08 / $123.75 / $158.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.80 / $743.74 / $825.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.70 / $849.00 / $849.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.30 / $149.80 / $149.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$594.40 / $699.20 / $699.20