go back

South Dakota rates for HCPCS 74178

Ct Abdomen & Pelvis W/O Contrst 1/> Body Re

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.90 / $96.90 / $96.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.48 / $434.02 / $636.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.54 / $95.56 / $336.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.32 / $378.88 / $4,539.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.75 / $806.73 / $1,008.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.36 / $215.64 / $269.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$483.39 / $591.08 / $738.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.42 / $686.39 / $2,326.86
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.53 / $185.82 / $600.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$305.69 / $500.57 / $2,909.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$310.95 / $310.95 / $310.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.75 / $802.15 / $969.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.33 / $573.82 / $675.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.14 / $163.96 / $183.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.38 / $410.23 / $496.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.62 / $667.84 / $755.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.25 / $180.80 / $214.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.37 / $487.04 / $534.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.40 / $776.90 / $776.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.60 / $213.70 / $213.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.70 / $563.20 / $563.20