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South Dakota rates for HCPCS 70546

Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $134.90 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $354.81 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $162.18 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $645.65 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $144.54 / $251.19
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $676.08 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $912.01
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $147.91 / $169.82
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$524.81 / $562.34 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $154.88
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$602.56 / $602.56 / $602.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $117.49 / $151.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $512.86 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $776.25 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $138.04 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $660.69 / $1,122.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $870.96
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $181.97 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$588.84 / $691.83 / $691.83