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South Dakota rates for HCPCS 74251

Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered

Facilitymedian $56 · 10th–90th $56–$560%50%100%$56Professionalmedian $76 · 10th–90th $45–$1070%20%10th90th$76$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $69.18 / $107.15