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South Dakota rates for HCPCS 74425

Urography, antegrade, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $562.34 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $281.84
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $47.86 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $30.20 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $380.19 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $269.15