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South Dakota rates for HCPCS 70554

Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

Facilitymedian $102 · 10th–90th $102–$1020%50%100%$102Professionalmedian $174 · 10th–90th $126–$2140%20%10th90th$174$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $213.80 / $245.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $169.82 / $194.98