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South Dakota rates for HCPCS 74022

Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.66 / $15.66 / $15.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $48.42 / $83.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.26 / $17.01 / $35.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $36.75 / $96.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.79 / $117.13 / $146.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.55 / $34.90 / $43.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.92 / $82.22 / $102.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $89.14 / $321.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.22 / $29.62 / $128.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.20 / $58.71 / $254.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.41 / $49.41 / $49.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $103.32 / $124.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.78 / $72.56 / $97.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.30 / $26.10 / $29.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.45 / $50.16 / $67.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $72.34 / $90.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.68 / $24.95 / $32.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.11 / $47.39 / $60.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.60 / $100.80 / $100.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $30.90 / $30.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.40 / $69.90 / $69.90