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South Dakota rates for HCPCS 0626T

Auto Quan&Charac Coronary Plaq Rev Cptr Alys I&R

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.51 / $119.91 / $141.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.95 / $153.74 / $463.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.37 / $117.48 / $134.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.49 / $106.11 / $134.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.95 / $137.93 / $162.27