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South Dakota rates for HCPCS 93304

Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.70 / $38.70 / $38.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $158.71 / $273.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.36 / $321.02 / $401.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.35 / $304.33 / $1,016.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.06 / $304.33 / $339.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.58 / $250.80 / $293.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.20 / $59.01 / $67.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.35 / $289.13 / $340.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $356.40 / $370.60