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South Dakota rates for HCPCS 74261

Ct Colonogrphy Dx Image Postprocess W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.08 / $116.08 / $116.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.44 / $307.06 / $366.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.63 / $106.23 / $176.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.81 / $190.35 / $200.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.48 / $980.48 / $1,225.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$211.25 / $258.31 / $322.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$472.48 / $722.18 / $902.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.79 / $891.85 / $1,915.39
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.24 / $222.37 / $717.76
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$434.26 / $669.48 / $1,435.54
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$370.31 / $370.31 / $370.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.03 / $510.10 / $592.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.94 / $768.25 / $827.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.90 / $196.53 / $219.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$435.47 / $559.29 / $612.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.70 / $867.74 / $980.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.22 / $216.36 / $252.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$375.48 / $651.38 / $737.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.20 / $943.80 / $943.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.20 / $256.70 / $256.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$584.00 / $687.00 / $687.00