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South Dakota rates for HCPCS 74249

Radex Gi Upr W/Wo Glucose W/Sm Intest Follw-Thru

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $309.03