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South Dakota rates for HCPCS 76377

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation

Facilitymedian $38 · 10th–90th $27$380%50%10th$38Professionalmedian $65 · 10th–90th $35$1580%10%20%10th90th$65$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.02 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $39.81 / $81.28
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $141.25 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $87.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $102.33 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $114.82 / $199.53
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $63.10 / $112.20
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $50.12 / $102.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $158.49 / $169.82
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $79.43 / $91.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $77.62 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $154.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $61.66 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $66.07 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $138.04 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $67.61 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $63.10 / $102.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $158.49 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $75.86 / $75.86
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $85.11 / $85.11