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South Dakota rates for HCPCS 70492

Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $91.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $204.17 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $177.83 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $363.08 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $794.33
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $134.90 / $204.17
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $309.03 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $549.54
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $162.18 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $316.23 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $169.82 / $169.82
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $331.13 / $331.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $123.03 / $147.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $288.40 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $131.83 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $302.00 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $169.82 / $169.82
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $338.84 / $338.84