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South Dakota rates for HCPCS 74181

Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $426.58 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $125.89 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $208.93 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $158.49 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $316.23 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $954.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $125.89 / $204.17
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $346.74 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $549.54
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $144.54 / $169.82
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $275.42 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $309.03 / $309.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $112.20 / $131.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $251.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $446.68 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $123.03 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $338.84 / $575.44
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
$151.36 / $177.83 / $177.83
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $338.84 / $338.84