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South Dakota rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Facilitymedian $62 · 10th–90th $44$620%50%10th$62Professionalmedian $214 · 10th–90th $62$4790%5%10th90th$214$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$43.65 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $67.61
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $173.78 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $524.81 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $141.25 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $380.19 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $630.96
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $81.28 / $173.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $213.80 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $102.33 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $269.15 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $107.15 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $323.59 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $489.78
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $138.04
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $354.81 / $354.81