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South Dakota rates for HCPCS 70491

Ct Soft Tissue Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.09 / $67.09 / $67.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $314.01 / $447.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.72 / $69.23 / $237.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.85 / $251.06 / $567.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.79 / $437.49 / $546.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.17 / $148.16 / $185.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.62 / $289.33 / $361.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.93 / $377.60 / $1,680.90
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $128.33 / $414.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.69 / $249.27 / $1,425.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.14 / $218.14 / $218.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.51 / $452.32 / $618.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.35 / $344.18 / $396.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.53 / $110.08 / $125.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.99 / $224.94 / $273.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.49 / $367.40 / $473.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.50 / $128.33 / $148.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.99 / $242.53 / $334.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.40 / $422.80 / $422.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.50 / $146.50 / $146.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.90 / $276.30 / $276.30