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South Dakota rates for HCPCS 78582

Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.61 / $50.61 / $50.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.77 / $326.70 / $505.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.68 / $50.61 / $181.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.19 / $276.10 / $428.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.21 / $699.68 / $874.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.98 / $112.48 / $140.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$480.22 / $587.20 / $734.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.64 / $454.64 / $756.55
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.49 / $94.74 / $111.07
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.92 / $520.88 / $622.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.39 / $695.52 / $891.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.05 / $546.38 / $586.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.36 / $85.80 / $95.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$349.77 / $456.03 / $493.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.50 / $454.64 / $698.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.49 / $69.19 / $111.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.94 / $347.25 / $592.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $597.10 / $597.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.90 / $98.70 / $98.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.60 / $498.40 / $498.40