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South Dakota rates for HCPCS 74185

Mra Abdomen W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.37 / $86.37 / $86.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.73 / $475.00 / $630.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.86 / $136.91 / $189.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.87 / $315.36 / $422.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.21 / $803.63 / $1,004.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.69 / $191.60 / $239.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$500.52 / $612.03 / $765.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.20 / $723.35 / $3,007.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.10 / $165.11 / $848.54
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$362.10 / $558.24 / $2,544.17
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$282.98 / $282.98 / $282.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.41 / $877.60 / $1,073.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.34 / $629.97 / $684.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.40 / $142.97 / $163.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.43 / $475.09 / $547.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.03 / $703.80 / $852.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.86 / $165.11 / $191.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.17 / $543.15 / $664.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.00 / $897.70 / $897.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$187.60 / $220.70 / $220.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.40 / $677.00 / $677.00