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South Dakota rates for HCPCS 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $87 · 10th–90th $65–$870%50%10th$87Professionalmedian $155 · 10th–90th $79–$4680%20%10th90th$155$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$64.57 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $87.10 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $316.23 / $2,818.38
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $199.53 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $489.78 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $478.63 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $354.81 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $575.44 / $645.65
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $181.97 / $213.80
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $389.05 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $645.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $144.54 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $354.81 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $147.91 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $398.11 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $645.65
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $194.98
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $457.09 / $457.09