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South Dakota rates for HCPCS 70545

Mra Head W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.86 / $57.86 / $57.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $249.31 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.31 / $57.86 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.66 / $191.45 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.70 / $543.77 / $679.71
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
$339.39 / $415.00 / $518.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.76 / $508.81 / $2,955.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.81 / $110.96 / $596.05
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.63 / $397.85 / $2,626.86
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$188.60 / $188.60 / $188.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.15 / $612.70 / $870.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.23 / $448.30 / $638.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.55 / $95.32 / $108.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.21 / $339.62 / $537.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.02 / $478.00 / $782.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.09 / $110.96 / $128.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.92 / $367.04 / $663.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.90 / $606.90 / $606.90
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
$390.80 / $459.80 / $459.80