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South Dakota rates for HCPCS 74183

Mri Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.14 / $106.14 / $106.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.76 / $475.00 / $598.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.20 / $161.00 / $615.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.52 / $368.50 / $3,553.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.48 / $805.18 / $1,006.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.48 / $236.59 / $295.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.00 / $568.59 / $710.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.81 / $730.45 / $6,025.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.79 / $203.17 / $891.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.02 / $527.28 / $5,457.89
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$353.73 / $353.73 / $353.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.54 / $888.56 / $1,449.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.53 / $648.70 / $903.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.36 / $180.48 / $201.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.81 / $463.83 / $728.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.63 / $730.45 / $1,019.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.04 / $197.68 / $243.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$293.58 / $527.28 / $833.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.30 / $900.30 / $900.30
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$231.50 / $272.39 / $272.39
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$533.79 / $627.90 / $627.90