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South Dakota rates for HCPCS 70470

Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.49 / $61.49 / $61.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $314.94 / $449.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.49 / $66.47 / $282.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.34 / $256.70 / $372.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.49 / $412.67 / $515.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.65 / $136.52 / $170.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.84 / $276.14 / $345.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.08 / $356.25 / $1,897.57
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.31 / $117.64 / $435.88
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.77 / $238.61 / $1,600.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$201.64 / $201.64 / $201.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.42 / $426.97 / $598.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.40 / $311.57 / $382.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.66 / $101.56 / $115.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.75 / $206.55 / $259.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.31 / $346.63 / $393.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.50 / $117.64 / $133.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.81 / $232.16 / $270.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $398.60 / $398.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.90 / $135.10 / $135.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.00 / $263.50 / $263.50