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South Dakota rates for HCPCS 74247

Contrst X-Ray Uppr Gi Tract

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.05 / $335.10 / $418.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.33 / $665.33 / $665.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.00 / $270.68 / $270.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $225.00 / $288.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.25 / $225.94 / $233.01