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South Dakota rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.02 / $41.02 / $41.02
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.24 / $144.24 / $144.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.50 / $72.63 / $82.80