go back

South Dakota rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $245.47 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $616.60 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $616.60 / $851.14