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South Dakota rates for HCPCS 74251

Radiologic Exam Small Int Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.81 / $56.81 / $56.81
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.93 / $111.93 / $111.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.48 / $79.09 / $106.09