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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
$56.92 / $56.92 / $56.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $179.96 / $294.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.90 / $54.73 / $151.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.11 / $125.34 / $208.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $411.90 / $514.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.04 / $127.21 / $159.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.82 / $284.68 / $355.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.67 / $237.22 / $402.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.29 / $106.43 / $141.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.44 / $218.16 / $257.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.17 / $402.03 / $472.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.82 / $291.83 / $340.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.33 / $94.19 / $107.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.30 / $197.03 / $233.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.71 / $237.22 / $363.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.29 / $70.95 / $118.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.81 / $147.11 / $245.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.89 / $354.00 / $354.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.80 / $111.50 / $111.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.10 / $242.50 / $242.50