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South Dakota rates for HCPCS 74450

Urethrocystography, retrograde, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.85 / $15.85 / $15.85
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $33.11 / $38.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $26.30 / $29.51