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South Dakota rates for HCPCS 72142

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)

Facilitymedian $85 · 10th–90th $85$850%50%$85Professionalmedian $275 · 10th–90th $95$6460%5%10th90th$275$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
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $95.50 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $239.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $676.08 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $199.53 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $467.74 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $144.54 / $645.65
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $407.38 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $602.56 / $707.95
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $181.97 / $208.93
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $416.87 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
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
$457.09 / $457.09 / $457.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $537.03 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $144.54 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $151.36 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $223.87 / $223.87
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $512.86 / $512.86