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South Dakota rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $61.66 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $154.88 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $134.90 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $275.42 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $354.81 / $645.65
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $104.71 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $251.19 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $501.19
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $123.03 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $245.47 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $275.42 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $95.50 / $109.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $223.87 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $501.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $104.71 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $251.19 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $389.05
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $128.82 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $257.04 / $257.04