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South Dakota rates for HCPCS 74415

Urography, infusion, drip technique and/or bolus technique; with nephrotomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $22.91 / $22.91
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $48.98 / $57.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $38.02 / $44.67