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South Dakota rates for HCPCS 70542

Mri Orbit Face & Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.44 / $78.44 / $78.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.49 / $251.49 / $522.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.46 / $637.63 / $797.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.63 / $577.54 / $3,348.15
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.76 / $257.76 / $257.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.55 / $701.67 / $1,046.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.25 / $499.67 / $666.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.11 / $129.37 / $147.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.74 / $577.54 / $717.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.20 / $712.00 / $712.00