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South Dakota rates for HCPCS 93289

Interrog Eval F2f 1/Dual/Mlt Leads Impltbl Dfb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.46 / $39.46 / $39.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $72.87 / $99.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.71 / $44.39 / $83.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.57 / $24.82 / $41.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.08 / $147.94 / $184.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.93 / $74.34 / $91.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.60 / $74.68 / $93.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.77 / $118.85 / $568.04
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.00 / $78.20 / $234.92
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.86 / $41.75 / $244.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $121.51 / $175.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $106.76 / $137.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.06 / $58.29 / $74.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.99 / $49.97 / $68.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $113.22 / $143.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.83 / $67.70 / $96.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.54 / $46.84 / $60.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $147.10 / $173.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.70 / $73.59 / $86.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.70 / $73.59 / $86.50