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South Dakota rates for HCPCS 74160

Computed tomography, abdomen; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $100.00 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $229.09 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $141.25 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $426.58 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $112.20 / $177.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $302.00 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $501.19 / $537.03
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $128.82 / $147.91
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.74 / $371.54 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $131.83
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $371.54 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $100.00 / $114.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $295.12 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $109.65 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $323.59 / $416.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $134.90 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $398.11 / $398.11