go back

South Dakota rates for HCPCS 78761

Testicular imaging with vascular flow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.64 / $210.64 / $210.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $210.64 / $210.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.92 / $458.44 / $573.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.60 / $300.02 / $486.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $289.64 / $477.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.33 / $415.58 / $477.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $421.19 / $567.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.38 / $331.36 / $379.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.08 / $266.92 / $444.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.40 / $392.30 / $392.30