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South Dakota rates for HCPCS 70544

Magnetic resonance angiography, head; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.22 / $58.22 / $58.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.95 / $475.00 / $598.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.11 / $140.00 / $266.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.63 / $335.00 / $422.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.59 / $514.29 / $642.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.31 / $128.77 / $160.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.27 / $385.52 / $481.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.54 / $513.92 / $2,968.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.98 / $110.96 / $505.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.20 / $402.14 / $2,638.88
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.69 / $190.69 / $190.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.82 / $617.38 / $870.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.39 / $424.37 / $659.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.37 / $97.81 / $108.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.36 / $315.69 / $548.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.63 / $457.30 / $790.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.09 / $110.96 / $145.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.53 / $346.34 / $670.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.30 / $574.50 / $574.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.10 / $147.10 / $147.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.30 / $427.40 / $427.40