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South Dakota rates for HCPCS 78740

Ureteral Reflux Study Rp Voiding Cystogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.13 / $215.13 / $215.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.02 / $225.87 / $357.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.10 / $494.12 / $617.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.62 / $321.13 / $520.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.61 / $297.52 / $493.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.33 / $477.58 / $627.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $446.18 / $591.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.02 / $355.76 / $405.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.50 / $267.02 / $457.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $421.20 / $421.20