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South Dakota rates for HCPCS 74475

Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $208.93