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South Dakota rates for HCPCS 78831

Rp Loclzj Tum Spect 2 Area/Sep Acquisj Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.42 / $85.42 / $85.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.91 / $697.95 / $796.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.44 / $1,494.77 / $1,868.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.26 / $945.84 / $2,063.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.74 / $1,648.96 / $2,407.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.45 / $1,075.22 / $1,253.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.07 / $141.28 / $161.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.72 / $876.66 / $1,453.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.90 / $1,272.90 / $1,272.90