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South Dakota rates for HCPCS 78708

Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $61.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $128.82 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $128.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $288.40 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $77.62 / $141.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $158.49 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $263.03 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $338.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $97.72 / $107.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $199.53 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $398.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $91.20 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $218.78 / $275.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $354.81
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $112.20 / $112.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $239.88 / $239.88