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South Dakota rates for HCPCS 70554

Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.04 / $102.04 / $102.04
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$333.67 / $333.67 / $333.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.77 / $170.79 / $194.72