go back

South Dakota rates for HCPCS 70250

Radiologic examination, skull; less than 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.81 / $225.88 / $4,495.60
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.89 / $8.89 / $8.89
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$28.92 / $484.21 / $484.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $37.21 / $60.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.21 / $13.48 / $42.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.65 / $25.92 / $47.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $83.78 / $104.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.86 / $19.39 / $24.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.75 / $64.38 / $80.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $54.65 / $78.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $65.92 / $230.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.29 / $18.95 / $77.59
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.16 / $46.94 / $214.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $84.45 / $122.26
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.47 / $38.47 / $38.47
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$83.73 / $83.73 / $83.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $76.84 / $90.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $58.99 / $69.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.19 / $15.69 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.79 / $39.54 / $53.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.76 / $64.13 / $74.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.38 / $18.43 / $25.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.16 / $45.70 / $53.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $72.50 / $72.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.80 / $17.50 / $17.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.80 / $55.10 / $55.10