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South Dakota rates for HCPCS 71270

Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $81.28 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $190.55 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $338.84 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $776.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $117.49 / $194.98
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $309.03 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $125.89 / $162.18
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $302.00 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $331.13 / $331.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $100.00 / $114.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $275.42 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $436.52 / $602.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $117.49 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $302.00 / $457.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $131.83 / $131.83
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $316.23 / $316.23