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South Dakota rates for HCPCS 74021

Radiologic Exam Abdomen 3+ Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.09 / $13.09 / $13.09
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.11 / $32.11 / $296.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $38.70 / $71.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.32 / $12.66 / $19.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.42 / $27.38 / $51.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $99.29 / $124.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.47 / $28.70 / $35.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.08 / $70.59 / $88.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.57 / $77.27 / $277.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.19 / $24.96 / $81.06
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $50.54 / $196.89
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.81 / $57.81 / $57.81
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$105.26 / $105.26 / $105.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.28 / $88.86 / $108.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.34 / $72.63 / $82.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.06 / $21.56 / $24.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.84 / $51.07 / $58.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $62.10 / $77.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.92 / $21.00 / $27.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.40 / $41.10 / $53.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $86.00 / $86.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.70 / $25.50 / $25.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.40 / $60.50 / $60.50