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South Dakota rates for HCPCS 73706

Ct Angiography Lower Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.93 / $90.93 / $90.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.23 / $438.26 / $624.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.95 / $87.48 / $137.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.27 / $350.77 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.67 / $769.49 / $961.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.57 / $202.46 / $253.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.39 / $567.04 / $708.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.74 / $662.60 / $2,878.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.74 / $173.81 / $561.99
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.32 / $488.79 / $2,400.63
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$299.55 / $299.55 / $299.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.07 / $654.37 / $916.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.20 / $562.85 / $638.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.98 / $150.93 / $172.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$307.20 / $409.55 / $470.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.06 / $662.60 / $750.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.46 / $169.11 / $201.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.60 / $475.58 / $528.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.79 / $742.20 / $742.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.70 / $200.80 / $200.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$460.10 / $541.29 / $541.29