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South Dakota rates for HCPCS 70492

Ct Soft Tissue Neck W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.08 / $78.08 / $78.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.35 / $380.45 / $543.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.95 / $72.55 / $135.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $314.49 / $456.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.11 / $525.91 / $657.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.47 / $172.98 / $216.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.64 / $352.94 / $441.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.66 / $455.80 / $2,036.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.06 / $146.36 / $484.69
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.08 / $305.38 / $2,005.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.53 / $226.53 / $226.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.21 / $545.08 / $674.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.05 / $413.01 / $471.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.80 / $121.52 / $146.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.12 / $273.50 / $337.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.63 / $455.80 / $558.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.06 / $146.36 / $173.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.35 / $305.38 / $413.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.30 / $507.40 / $507.40
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.69 / $171.40 / $171.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.60 / $336.00 / $336.00