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South Dakota rates for HCPCS 78830

Rp Loclzj Tum Spect W/Ct 1 Area/Acquisj 1day Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.69 / $68.69 / $68.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.06 / $500.12 / $725.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.67 / $73.54 / $216.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.21 / $433.27 / $622.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.15 / $1,005.31 / $1,256.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.97 / $152.81 / $191.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$697.18 / $852.49 / $1,065.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.61 / $654.12 / $1,426.63
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.17 / $130.05 / $151.01
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.67 / $779.44 / $904.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.66 / $1,116.93 / $1,667.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.13 / $723.44 / $848.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.80 / $112.91 / $128.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$494.33 / $610.52 / $722.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.61 / $934.75 / $1,055.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.09 / $93.91 / $143.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$442.19 / $519.62 / $861.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.00 / $856.40 / $856.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.60 / $133.69 / $133.69
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$614.29 / $722.70 / $722.70