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South Dakota rates for HCPCS 70549

Mra Neck W/O &W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.08 / $87.08 / $87.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.00 / $475.00 / $593.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.47 / $131.34 / $426.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.53 / $335.00 / $461.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.61 / $826.12 / $1,032.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$157.96 / $193.15 / $241.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$517.65 / $632.97 / $791.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.74 / $789.28 / $5,311.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.07 / $167.13 / $808.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$364.21 / $620.50 / $4,858.99
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$281.83 / $281.83 / $281.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.64 / $946.67 / $1,397.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.38 / $680.54 / $1,085.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.27 / $143.55 / $163.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$385.36 / $516.87 / $914.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.81 / $727.36 / $1,214.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.66 / $167.13 / $193.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.14 / $560.23 / $1,034.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.10 / $921.30 / $921.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.30 / $221.60 / $221.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$594.79 / $699.80 / $699.80