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South Dakota rates for HCPCS 73702

Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $58 · 10th–90th $42$580%50%10th$58Professionalmedian $162 · 10th–90th $56$4370%10%10th90th$162$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
$41.69 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $213.80 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $57.54 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $154.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $478.63 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $346.74 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $426.58 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $97.72 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $323.59 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $426.58 / $575.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $120.23 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $302.00 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $95.50 / $109.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $275.42 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $104.71 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $323.59 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $128.82 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $323.59 / $323.59