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South Dakota rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $2,290.87 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $169.82 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83