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South Dakota rates for HCPCS 72159

Mra Spinal Canal W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.44 / $87.44 / $87.44
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$278.02 / $278.02 / $278.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.36 / $143.55 / $163.66