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South Dakota rates for HCPCS 0558T

Computed tomography scan taken for the purpose of biomechanical computed tomography analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.13 / $204.13 / $216.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.02 / $393.87 / $476.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.52 / $344.98 / $414.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.02 / $396.47 / $1,219.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.97 / $262.47 / $523.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.72 / $403.72 / $523.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.93 / $361.35 / $441.65