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South Dakota rates for HCPCS 70555

Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.32 / $121.32 / $121.32
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$410.98 / $410.98 / $410.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.74 / $201.14 / $228.36