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South Dakota rates for HCPCS 70555

Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing

Facilitymedian $120 · 10th–90th $120–$1200%50%$120Professionalmedian $204 · 10th–90th $148–$2510%20%10th90th$204$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
$120.23 / $120.23 / $120.23
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $251.19 / $295.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $199.53 / $229.09