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South Dakota rates for HCPCS 70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

Facilitymedian $62 · 10th–90th $62–$620%50%$62Professionalmedian $148 · 10th–90th $62–$3890%5%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $112.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $134.90 / $489.78
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $281.84 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $141.25 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $245.47 / $309.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $114.82 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $257.04 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $346.74 / $389.05
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $128.82 / $147.91
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $213.80 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $316.23 / $457.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $194.98 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $363.08 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $112.20 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $257.04 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $138.04
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $229.09 / $229.09