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South Dakota rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $48 · 10th–90th $35$480%50%10th$48Professionalmedian $107 · 10th–90th $45$2820%20%10th90th$107$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$34.67 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $109.65 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $52.48 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $112.20 / $245.47
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $389.05 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $281.84 / $354.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $85.11 / $302.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $223.87 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $363.08
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $100.00 / $117.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $234.42 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $354.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $77.62 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $85.11 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $234.42 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $104.71
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $263.03 / $263.03