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South Dakota rates for HCPCS 70480

Ct Orbit Sella/Post Fossa/Ear W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.19 / $62.19 / $62.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $259.57 / $368.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.17 / $91.45 / $214.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.94 / $201.03 / $491.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.94 / $377.77 / $472.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.92 / $138.07 / $172.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.02 / $239.69 / $299.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.34 / $373.61 / $1,670.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.73 / $118.31 / $520.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.60 / $255.30 / $1,318.41
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$202.85 / $202.85 / $202.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.24 / $392.65 / $472.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.43 / $297.47 / $385.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.08 / $102.70 / $117.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.13 / $196.01 / $277.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $363.51 / $468.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.30 / $118.31 / $136.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.04 / $255.30 / $340.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $365.40 / $365.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.20 / $136.69 / $136.69
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.50 / $228.80 / $228.80