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South Dakota rates for HCPCS 74415

Urography Nfs Drip &/Bolus W/Nephrotomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.73 / $23.73 / $23.73
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.95 / $76.95 / $76.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.60 / $39.15 / $44.64