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South Dakota rates for HCPCS 70546

Mra Head W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.42 / $71.42 / $71.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.49 / $475.00 / $661.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.18 / $161.00 / $458.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.30 / $335.00 / $462.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.16 / $788.89 / $986.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.41 / $158.24 / $197.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$515.75 / $630.64 / $788.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.99 / $784.62 / $5,311.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.72 / $137.49 / $808.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$361.62 / $616.19 / $4,858.99
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$283.33 / $283.33 / $283.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.47 / $904.56 / $1,396.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.23 / $649.49 / $1,039.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.22 / $118.02 / $149.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$383.91 / $514.92 / $914.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.64 / $693.73 / $1,207.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.09 / $137.49 / $189.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.55 / $556.24 / $1,026.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.40 / $879.30 / $879.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.80 / $182.20 / $182.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$592.60 / $697.10 / $697.10