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South Dakota rates for HCPCS 78800

Rp Loclzj Tum Plnr 1 Area Single Day Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.62 / $30.62 / $30.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.64 / $209.26 / $248.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.62 / $537.55 / $671.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.45 / $318.29 / $490.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.00 / $438.43 / $685.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.84 / $329.89 / $442.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.33 / $51.63 / $58.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $318.29 / $490.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.50 / $459.40 / $459.40