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South Dakota rates for HCPCS 93303

Transthoracic echocardiography for congenital cardiac anomalies; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.42 / $66.42 / $66.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.53 / $224.12 / $613.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.87 / $152.19 / $322.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.75 / $180.91 / $1,472.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.56 / $460.29 / $569.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.82 / $125.47 / $155.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.73 / $331.50 / $414.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.44 / $447.62 / $1,442.20
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.26 / $127.74 / $507.29
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.18 / $349.42 / $1,055.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $447.62 / $519.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.13 / $365.97 / $417.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.37 / $102.13 / $116.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.00 / $263.83 / $300.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.44 / $424.57 / $495.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.26 / $114.56 / $134.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.18 / $318.22 / $381.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.40 / $506.30 / $526.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.10 / $141.30 / $147.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$310.30 / $365.00 / $379.60