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South Dakota rates for HCPCS 93297

Rem Interrog Icpms <30 D Phys/Qhp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.99 / $10.99 / $10.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.16 / $10.07 / $24.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.02 / $15.02 / $36.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.19 / $50.98 / $62.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.36 / $76.52 / $95.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.40 / $149.40 / $149.40
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.70 / $183.70 / $183.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $41.42 / $47.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.27 / $60.71 / $69.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.44 / $36.45 / $48.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.76 / $71.90 / $101.35
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.70 / $50.70 / $59.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.40 / $74.30 / $87.40